Forms & Brochures – Small Business Group Plans

CommunityCare HMO

• SBC – CommunityCare HMO Silver $1750/$50 (PDF)
• SBC – CommunityCare HMO Silver $1750/$50 + Infertility (PDF)

Health Net CommunityCare HMO

• SBC – Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental (PDF)
• SBC – Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental Infertility (PDF)

Full Network HMO

• SBC – Full Network HMO Platinum $0 (PDF)
• SBC – Full Network HMO Platinum $0 + Infertility (PDF)
• SBC – Full Network HMO Platinum $10 (PDF)
• SBC – Full Network HMO Platinum $10 + Infertility (PDF)
• SBC – Full Network HMO Platinum $20 (PDF)
• SBC – Full Network HMO Platinum $20 + Infertility (PDF)
• SBC – Full Network HMO Platinum $30 (PDF)
• SBC – Full Network HMO Platinum $30 + Infertility (PDF)
• SBC – Full Network HMO Gold $30 (PDF)
• SBC – Full Network HMO Gold $30 + Infertility (PDF)
• SBC – Full Network HMO Gold $35 (PDF)
• SBC – Full Network HMO Gold $35 + Infertility (PDF)
• SBC – Full Network HMO Gold $40 (PDF)
• SBC – Full Network HMO Gold $40 + Infertility (PDF)
• SBC – Full Network HMO Gold $50 (PDF)
• SBC – Full Network HMO Gold $50 + Infertility (PDF)
• SBC – Full Network HMO Silver $50 (PDF)
• SBC – Full Network HMO Silver $50 + Infertility (PDF)

Health Net PureCare HMO

• SBC – Health Net PureCare Platinum 90 HSP 0/15 + Child Dental (PDF)
• SBC – Health Net PureCare Platinum 90 HSP 0/15 + Child Dental Infertility (PDF)
• SBC – Health Net PureCare Gold 80 HSP 350/25 + Child Dental (PDF)
• SBC – Health Net PureCare Gold 80 HSP 350/25 + Child Dental Infertility (PDF)
• SBC – Health Net PureCare Silver 70 HSP 2250/50 + Child Dental (PDF)
• SBC – Health Net PureCare Silver 70 HSP 2250/50 + Child Dental Infertility (PDF)
• SBC – Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental (PDF)
• SBC – Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental Infertility (PDF)

Salud HMO y Más

• SBC – Salud HMO y Más Platinum $0 (PDF)
• SBC – Salud HMO y Más Platinum $0 + Infertility (PDF)
• SBC – Salud HMO y Más Platinum $10 (PDF)
• SBC – Salud HMO y Más Platinum $10 + Infertility (PDF)
• SBC – Salud HMO y Más Platinum $20 (PDF)
• SBC – Salud HMO y Más Platinum $20 + Infertility (PDF)
• SBC – Salud HMO y Más Platinum $30 (PDF)
• SBC – Salud HMO y Más Platinum $30 + Infertility (PDF)
• SBC – Salud HMO y Más Gold $30 (PDF)
• SBC – Salud HMO y Más Gold $30 + Infertility (PDF)
• SBC – Salud HMO y Más Gold $35 (PDF)
• SBC – Salud HMO y Más Gold $35 + Infertility (PDF)
• SBC – Salud HMO y Más Gold $40 (PDF)
• SBC – Salud HMO y Más Gold $40 + Infertility (PDF)
• SBC – Salud HMO y Más Gold $50 (PDF)
• SBC – Salud HMO y Más Gold $50 + Infertility (PDF)
• SBC – Salud HMO y Más Silver $50 (PDF)
• SBC – Salud HMO y Más Silver $50 + Infertility (PDF)

SmartCare HMO

• SBC – SmartCare HMO Platinum $0 (PDF)
• SBC – SmartCare HMO Platinum $0 + Infertility (PDF)
• SBC – SmartCare HMO Platinum $10 (PDF)
• SBC – SmartCare HMO Platinum $10 + Infertility (PDF)
• SBC – SmartCare HMO Platinum $20 (PDF)
• SBC – SmartCare HMO Platinum $20 + Infertility (PDF)
• SBC – SmartCare HMO Platinum $30 (PDF)
• SBC – SmartCare HMO Platinum $30 + Infertility (PDF)
• SBC – SmartCare HMO Gold $30 (PDF)
• SBC – SmartCare HMO Gold $30 + Infertility (PDF)
• SBC – SmartCare HMO Gold $35 (PDF)
• SBC – SmartCare HMO Gold $35 + Infertility (PDF)
• SBC – SmartCare HMO Gold $40 (PDF)
• SBC – SmartCare HMO Gold $40 + Infertility (PDF)
• SBC – SmartCare HMO Gold $50 (PDF)
• SBC – SmartCare HMO Gold $50 + Infertility (PDF)
• SBC – SmartCare HMO Silver $50 (PDF)
• SBC – SmartCare HMO Silver $50 + Infertility (PDF)

WholeCare HMO

• SBC – WholeCare HMO Platinum $0 (PDF)
• SBC – WholeCare HMO Platinum $0 + Infertility (PDF)
• SBC – WholeCare HMO Platinum $10 (PDF)
• SBC – WholeCare HMO Platinum $10 + Infertility (PDF)
• SBC – WholeCare HMO Platinum $20 (PDF)
• SBC – WholeCare HMO Platinum $20 + Infertility (PDF)
• SBC – WholeCare HMO Platinum $30 (PDF)
• SBC – WholeCare HMO Platinum $30 + Infertility (PDF)
• SBC – WholeCare HMO Gold $30 (PDF)
• SBC – WholeCare HMO Gold $30 + Infertility (PDF)
• SBC – WholeCare HMO Gold $35 (PDF)
• SBC – WholeCare HMO Gold $35 + Infertility (PDF)
• SBC – WholeCare HMO Gold $40 (PDF)
• SBC – WholeCare HMO Gold $40 + Infertility (PDF)
• SBC – WholeCare HMO Gold $50 (PDF)
• SBC – WholeCare HMO Gold $50 + Infertility (PDF)
• SBC – WholeCare HMO Silver $50 (PDF)
• SBC – WholeCare HMO Silver $50 + Infertility (PDF)

EnhancedCare PPO

• SBC – Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt INF (PDF)
• SBC – Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt (PDF)
• SBC – Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt INF (PDF)

PPO

• SBC – Health Net Platinum 90 PPO 0/15 + Child Dental (PDF)
• SBC – Health Net Platinum 90 PPO 0/15 + Child Dental INF (PDF)
• SBC – Health Net Platinum 90 PPO 250/15 + Child Dental Alt (PDF)
• SBC – Health Net Platinum 90 PPO 250/15 + Child Dental Alt INF (PDF)
• SBC – Health Net Gold 80 PPO 0/30 + Child Dental Alt (PDF)
• SBC – Health Net Gold 80 PPO 0/30 + Child Dental Alt INF (PDF)
• SBC – Health Net Gold 80 PPO 1000/30 + Child Dental Alt (PDF)
• SBC – Health Net Gold 80 PPO 1000/30 + Child Dental Alt INF (PDF)
• SBC – Health Net Gold 80 PPO 1500/0 + Child Dental Alt (PDF)
• SBC – Health Net Gold 80 PPO 1500/0 + Child Dental Alt INF (PDF)
• SBC – Health Net Gold 80 PPO 350/25 + Child Dental (PDF)
• SBC – Health Net Gold 80 PPO 350/25 + Child Dental INF (PDF)
• SBC – Health Net Gold 80 PPO 500/20 + Child Dental Alt (PDF)
• SBC – Health Net Gold 80 PPO 500/20 + Child Dental Alt INF (PDF)
• SBC – Health Net Gold 80 Value PPO 750/15 + Child Dental Alt (PDF)
• SBC – Health Net Gold 80 Value PPO 750/15 + Child Dental Alt INF (PDF)
• SBC – Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt (PDF)
• SBC – Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (PDF)
• SBC – Health Net Silver 70 PPO 2250/50 + Child Dental (PDF)
• SBC – Health Net Silver 70 PPO 2250/50 + Child Dental INF (PDF)
• SBC – Health Net Silver 70 PPO 2250/55 + Child Dental (PDF)
• SBC – Health Net Silver 70 PPO 2250/55 + Child Dental INF (PDF)
• SBC – Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt (PDF)
• SBC – Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt INF (PDF)
• SBC – Health Net Bronze 60 HDHP PPO 7000/0% + Child Dental (PDF)
• SBC – Health Net Bronze 60 HDHP PPO 7000/0% + Child Dental INF (PDF)
• SBC – Health Net Bronze 60 PPO 6300/65 + Child Dental (PDF)
• SBC – Health Net Bronze 60 PPO 6300/65 + Child Dental INF (PDF)

CommunityCare HMO

• SB – CommunityCare HMO Silver $1750/$50 + Child Dental (PDF)
• SB – CommunityCare HMO Silver $1750/$50 + Child Dental + Infertility (PDF)
• SB – CommunityCare Bronze 60 HMO 6300/65 + Child Dental (PDF)
• SB – CommunityCare Bronze 60 HMO 6300/65 + Child Dental + Infertility (PDF)

Full Network HMO

• SB – Full Network HMO Platinum $0 + Child Dental (PDF)
• SB – Full Network HMO Platinum $0 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Platinum $10 + Child Dental (PDF)
• SB – Full Network HMO Platinum $10 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Platinum $20 + Child Dental (PDF)
• SB – Full Network HMO Platinum $20 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Platinum $30 + Child Dental (PDF)
• SB – Full Network HMO Platinum $30 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Gold $30 + Child Dental (PDF)
• SB – Full Network HMO Gold $30 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Gold $35 + Child Dental (PDF)
• SB – Full Network HMO Gold $35 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Gold $40 + Child Dental (PDF)
• SB – Full Network HMO Gold $40 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Gold $50 + Child Dental (PDF)
• SB – Full Network HMO Gold $50 + Child Dental + Infertility (PDF)
• SB – Full Network HMO Silver $50 + Child Dental (PDF)
• SB – Full Network HMO Silver $50 + Child Dental + Infertility (PDF)

SmartCare HMO

• SB – SmartCare HMO Platinum $0 + Child Dental (PDF)
• SB – SmartCare HMO Platinum $0 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Platinum $10 + Child Dental (PDF)
• SB – SmartCare HMO Platinum $10 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Platinum $20 + Child Dental (PDF)
• SB – SmartCare HMO Platinum $20 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Platinum $30 + Child Dental (PDF)
• SB – SmartCare HMO Platinum $30 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Gold $30 + Child Dental (PDF)
• SB – SmartCare HMO Gold $30 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Gold $35 + Child Dental (PDF)
• SB – SmartCare HMO Gold $35 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Gold $40 + Child Dental (PDF)
• SB – SmartCare HMO Gold $40 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Gold $50 + Child Dental (PDF)
• SB – SmartCare HMO Gold $50 + Child Dental + Infertility (PDF)
• SB – SmartCare HMO Silver $50 + Child Dental (PDF)
• SB – SmartCare HMO Silver $50 + Child Dental + Infertility (PDF)

WholeCare HMO

• SB – WholeCare HMO Platinum $0 + Child Dental (PDF)
• SB – WholeCare HMO Platinum $0 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Platinum $10 + Child Dental (PDF)
• SB – WholeCare HMO Platinum $10 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Platinum $20 + Child Dental (PDF)
• SB – WholeCare HMO Platinum $20 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Platinum $30 + Child Dental (PDF)
• SB – WholeCare HMO Platinum $30 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Gold $30 + Child Dental (PDF)
• SB – WholeCare HMO Gold $30 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Gold $35 + Child Dental (PDF)
• SB – WholeCare HMO Gold $35 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Gold $40 + Child Dental (PDF)
• SB – WholeCare HMO Gold $40 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Gold $50 + Child Dental (PDF)
• SB – WholeCare HMO Gold $50 + Child Dental + Infertility (PDF)
• SB – WholeCare HMO Silver $50 + Child Dental (PDF)
• SB – WholeCare HMO Silver $50 + Child Dental + Infertility (PDF)

PureCare HSP

• SB – PureCare Bronze 60 HSP 6300/65 + Child Dental (PDF)
• SB – PureCare Bronze 60 HSP 6300/65 + Child Dental + Infertility (PDF)
• SB – PureCare Silver 70 HSP 2250/50 + Child Dental (PDF)
• SB – PureCare Silver 70 HSP 2250/50 + Child Dental + Infertility (PDF)
• SB – PureCare Gold 80 HSP 350/25 + Child Dental (PDF)
• SB – PureCare Gold 80 HSP 350/25 + Child Dental + Infertility (PDF)
• SB – PureCare Platinum 90 HSP 0/15 + Child Dental (PDF)
• SB – PureCare Platinum 90 HSP 0/15 + Child Dental + Infertility (PDF)

Salud HMO y Más

• SB – Salud HMO y Más Platinum $0 + Child Dental (PDF)
• SB – Salud HMO y Más Platinum $0 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Platinum $10 + Child Dental (PDF)
• SB – Salud HMO y Más Platinum $10 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Platinum $20 + Child Dental (PDF)
• SB – Salud HMO y Más Platinum $20 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Platinum $30 + Child Dental (PDF)
• SB – Salud HMO y Más Platinum $30 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Gold $30 + Child Dental (PDF)
• SB – Salud HMO y Más Gold $30 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Gold $35 + Child Dental (PDF)
• SB – Salud HMO y Más Gold $35 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Gold $40 + Child Dental (PDF)
• SB – Salud HMO y Más Gold $40 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Gold $50 + Child Dental (PDF)
• SB – Salud HMO y Más Gold $50 + Child Dental + Infertility (PDF)
• SB – Salud HMO y Más Silver $50 + Child Dental (PDF)
• SB – Salud HMO y Más Silver $50 + Child Dental + Infertility (PDF)

Summary of Benefits

Plans for new and renewing groups effective 1/1/21.

EnhancedCare PPO

• Summary of Benefits – EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt(PDF)
• Summary of Benefits – EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt + INF (PDF)
• Summary of Benefits – EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt (PDF)
• Summary of Benefits – EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt + INF (PDF)

Full Network PPO

• Summary of Benefits – Bronze 60 HDHP PPO 7000/0% + Child Dental (PDF)
• Summary of Benefits – Bronze 60 HDHP PPO 7000/0% + Child Dental INF (PDF)
• Summary of Benefits – Bronze 60 PPO 6300/65 + Child Dental (PDF)
• Summary of Benefits – Bronze 60 PPO 6300/65 + Child Dental + INF (PDF)
• Summary of Benefits – Gold 80 PPO 0/30 + Child Dental Alt (PDF)
• Summary of Benefits – Gold 80 PPO 0/30 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Gold 80 PPO 1000/30 + Child Dental Alt (PDF)
• Summary of Benefits – Gold 80 PPO 1000/30 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Gold 80 PPO 1500/0 + Child Dental Alt (PDF)
• Summary of Benefits – Gold 80 PPO 1500/0 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Gold 80 PPO 350/25 + Child Dental (PDF)
• Summary of Benefits – Gold 80 PPO 350/25 + Child Dental + INF (PDF)
• Summary of Benefits – Gold 80 PPO 500/20 + Child Dental Alt (PDF)
• Summary of Benefits – Gold 80 PPO 500/20 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Gold 80 Value PPO 750/15 + Child Dental Alt (PDF)
• Summary of Benefits – Gold 80 Value PPO 750/15 + Child Dental Alt INF (PDF)
• Summary of Benefits – Platinum 90 PPO 0/15 + Child Dental (PDF)
• Summary of Benefits – Platinum 90 PPO 0/15 + Child Dental + INF (PDF)
• Summary of Benefits – Platinum 90 PPO 250/15 + Child Dental Alt (PDF)
• Summary of Benefits – Platinum 90 PPO 250/15 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Silver 70 HDHP PPO 1400/40% + Child Dental Alt (PDF)
• Summary of Benefits – Silver 70 HDHP PPO 1400/40% + Child Dental Alt + INF (PDF)
• Summary of Benefits – Silver 70 PPO 2250/50 + Child Dental (PDF)
• Summary of Benefits – Silver 70 PPO 2250/50 + Child Dental + INF (PDF)
• Summary of Benefits – Silver 70 PPO 2250/55 + Child Dental Alt (PDF)
• Summary of Benefits – Silver 70 PPO 2250/55 + Child Dental Alt + INF (PDF)
• Summary of Benefits – Silver 70 Value PPO 1700/50 + Child Dental Alt (PDF)
• Summary of Benefits – Silver 70 Value PPO 1700/50 + Child Dental Alt + INF (PDF)

Full Network HMO

• Summary of Benefits – Full Network HMO Gold 30 (PDF)
• Summary of Benefits – Full Network HMO Gold 30 + INF (PDF)
• Summary of Benefits – Full Network HMO Gold 35 (PDF)
• Summary of Benefits – Full Network HMO Gold 35 + INF (PDF)
• Summary of Benefits – Full Network HMO Gold 40 (PDF)
• Summary of Benefits – Full Network HMO Gold 40 + INF (PDF)
• Summary of Benefits – Full Network HMO Gold 50 (PDF)
• Summary of Benefits – Full Network HMO Gold 50 + INF (PDF)
• Summary of Benefits – Full Network HMO Platinum 10 (PDF)
• Summary of Benefits – Full Network HMO Platinum 10 + INF (PDF)
• Summary of Benefits – Full Network HMO Platinum 20 (PDF)
• Summary of Benefits – Full Network HMO Platinum 20 + INF (PDF)
• Summary of Benefits – Full Network HMO Platinum 30 (PDF)
• Summary of Benefits – Full Network HMO Platinum 30 + INF (PDF)
• Summary of Benefits – Full Network HMO Silver 50 (PDF)
• Summary of Benefits – Full Network HMO Silver 50 + INF (PDF)

Salud HMO y Mas

• Summary of Benefits – Salud HMO y Mas Gold $30 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $30 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $35 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $35 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $40 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $40+ INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $50 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $50 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $10 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $10 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $20 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $20 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $30 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $30 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Silver $50 (PDF)
• Summary of Benefits – Salud HMO y Mas Silver $50 + INF (PDF)

SmartCare HMO

• Summary of Benefits – SmartCare HMO Platinum $10 (PDF)
• Summary of Benefits – SmartCare HMO Platinum $10 + INF (PDF)
• Summary of Benefits – SmartCare HMO Platinum $20 (PDF)
• Summary of Benefits – SmartCare HMO Platinum $20 + INF (PDF)
• Summary of Benefits – SmartCare HMO Platinum $30 (PDF)
• Summary of Benefits – SmartCare HMO Platinum $30 +INF (PDF)
• Summary of Benefits – SmartCare HMO Gold $30 (PDF)
• Summary of Benefits – SmartCare HMO Gold $30 + INF (PDF)
• Summary of Benefits – SmartCare HMO Gold $35 (PDF)
• Summary of Benefits – SmartCare HMO Gold $35 + INF (PDF)
• Summary of Benefits – SmartCare HMO Gold $40 (PDF)
• Summary of Benefits – SmartCare HMO Gold $40 + INF (PDF)
• Summary of Benefits – SmartCare HMO Gold $50 (PDF)
• Summary of Benefits – SmartCare HMO Gold $50 + INF (PDF)
• Summary of Benefits – SmartCare HMO Silver $50 (PDF)
• Summary of Benefits – SmartCare HMO Silver $50 + INF (PDF)

WholeCare HMO

• Summary of Benefits – WholeCare HMO Platinum $10 (PDF)
• Summary of Benefits – WholeCare HMO Platinum $10 + INF (PDF)
• Summary of Benefits – WholeCare HMO Platinum $20 (PDF)
• Summary of Benefits – WholeCare HMO Platinum $20 + INF (PDF)
• Summary of Benefits – WholeCare HMO Platinum $30 (PDF)
• Summary of Benefits – WholeCare HMO Platinum $30 + INF (PDF)
• Summary of Benefits – WholeCare HMO Gold $30 (PDF)
• Summary of Benefits – WholeCare HMO Gold $30 + INF (PDF)
• Summary of Benefits – WholeCare HMO Gold $35 (PDF)
• Summary of Benefits – WholeCare HMO Gold $35 + INF (PDF)
• Summary of Benefits – WholeCare HMO Gold $40 (PDF)
• Summary of Benefits – WholeCare HMO Gold $40 + INF (PDF)
• Summary of Benefits – WholeCare HMO Gold $50 (PDF)
• Summary of Benefits – WholeCare HMO Gold $50 + INF (PDF)
• Summary of Benefits – WholeCare HMO Silver $50 (PDF)
• Summary of Benefits – WholeCare HMO Silver $50 + INF (PDF)

Salud HMO y Mas

• Summary of Benefits – Salud HMO y Mas Gold $30 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $30 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $35 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $35 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $40 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $40+ INF (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $50 (PDF)
• Summary of Benefits – Salud HMO y Mas Gold $50 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $10 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $10 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $20 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $20 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $30 (PDF)
• Summary of Benefits – Salud HMO y Mas Platinum $30 + INF (PDF)
• Summary of Benefits – Salud HMO y Mas Silver $50 (PDF)
• Summary of Benefits – Salud HMO y Mas Silver $50 + INF (PDF)

Summary of Benefits

Plans for new and renewing groups effective 1/1/20.

EnhancedCare PPO

• Summary of Benefits – EnhancedCare PPO Bronze HDHP 20% Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Bronze HDHP 20% Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Gold $20 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Gold $20 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Gold $30 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Gold $30 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Gold 1000 $30 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Gold 1000 $30 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Gold Value $15 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Gold Value $15 Alt +INF (PDF)
• Summary of Benefits – EnhancedCare PPO Platinum $15 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Platinum $15 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Silver $50 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Silver $50 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Silver $55 Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Silver $55 Alt + INF (PDF)
• Summary of Benefits – EnhancedCare PPO Silver HDHP 40% Alt (PDF)
• Summary of Benefits – EnhancedCare PPO Silver HDHP 40% Alt + INF (PDF)

Full Network PPO

• Summary of Benefits – Full Network PPO Bronze $65 (PDF)
• Summary of Benefits – Full Network PPO Bronze $65 + INF (PDF)
• Summary of Benefits – Full Network PPO Bronze HDHP 20% Alt (PDF)
• Summary of Benefits – Full Network PPO Bronze HDHP 20% Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Gold $20 Alt (PDF)
• Summary of Benefits – Full Network PPO Gold $20 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Gold $25 (PDF)
• Summary of Benefits – Full Network PPO Gold $25 + INF (PDF)
• Summary of Benefits – Full Network PPO Gold $30 Alt (PDF)
• Summary of Benefits – Full Network PPO Gold $30 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Gold 1000 $30 Alt (PDF)
• Summary of Benefits – Full Network PPO Gold 1000 $30 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Gold Value $15 Alt (PDF)
• Summary of Benefits – Full Network PPO Gold Value $15 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Platinum $15 (PDF)
• Summary of Benefits – Full Network PPO Platinum $15 + INF (PDF)
• Summary of Benefits – Full Network PPO Platinum 250 $15 Alt (PDF)
• Summary of Benefits – Full Network PPO Platinum 250 $15 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Silver $50 (PDF)
• Summary of Benefits – Full Network PPO Silver $50 + INF (PDF)
• Summary of Benefits – Full Network PPO Silver $55 Alt (PDF)
• Summary of Benefits – Full Network PPO Silver $55 Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Silver HDHP 40% Alt (PDF)
• Summary of Benefits – Full Network PPO Silver HDHP 40% Alt + INF (PDF)
• Summary of Benefits – Full Network PPO Silver Value $50 Alt (PDF)
• Summary of Benefits – Full Network PPO Silver Value $50 Alt + INF (PDF)

• Portfolio Plan Desktopper – 2021 – English (PDF)
• Portfolio Plan Desktopper – January 2020 – English (PDF)
• Portfolio Guide – January 2021 – English (PDF)
• Portfolio Guide – January 2020 – English (PDF)
• Q3 2021 - Q4 2021 Renewal Guide – English (PDF)
  
• Q2 2021 Renewal Guide – English (PDF)
• Q1 2021 Renewal Guide – English (PDF)
• Q4 2020 Renewal Guide – English (PDF)
• Broker PPO Fast Facts – English (PDF)
• Member Open Enrollment PPO Brochure – English (PDF)

Presentation Folders

• Generic Folder – English (PDF)
• Open Enrollment Folder – English (PDF)
• Open Enrollment Folder – En Español (Spanish) (PDF)

Open Enrollment Product flyers

To be used as inserts with the OE Folders, may not be used as stand-alone flyers.

• Open Enrollment Product flyer – HMO – English (PDF)
• Open Enrollment Product flyer – HMO – En Español (Spanish) (PDF)
• Open Enrollment Product flyer – PPO – English (PDF)
• Open Enrollment Product flyer – PPO – En Español (Spanish) (PDF)

Ancillary Add-On or Change Form

Ancillary Add-On or Change Form – English (PDF)

Enrollment and Change Applications

Top Reasons for Employee Enrollment Delays

Top Reasons for Employee Enrollment Delays (PDF)

Employee Enrollment and Change Form (2021)

• Employee Enrollment and Change Form (2021) – English (PDF)
• Employee Enrollment and Change Form (2021) – En Español (Spanish) (PDF)
• Employee Enrollment and Change Form (2021) – 中文 (Chinese) (PDF)
• Employee Enrollment and Change Form (2021) – 한국어 (Korean) (PDF)
• Employee Enrollment and Change Form (2021) – Tiếng Việt (Vietnamese) (PDF)

Must be completed & submitted at time of enrollment in order to enroll new employees & existing dependents. Also used for employees/dependents waiving coverage.

Employee Enrollment and Change Form (2020)

• Employee Enrollment and Change Form (2020) – English (PDF)
• Employee Enrollment and Change Form (2020) – En Español (Spanish) (PDF)
• Employee Enrollment and Change Form (2020) – 中文 (Chinese) (PDF)
• Employee Enrollment and Change Form (2020) – 한국어 (Korean) (PDF)
• Employee Enrollment and Change Form (2020) – Tiếng Việt (Vietnamese) (PDF)

Must be completed & submitted at time of enrollment in order to enroll new employees & existing dependents. Also used for employees/dependents waiving coverage.

Renewal Election and Open Enrollment Medical Plan Change Request Form

• Renewal Election and Open Enrollment Medical Plan Change Request Form – 2021 (PDF)
• Renewal Election and Open Enrollment Medical Plan Change Request Form – January 2020 (PDF)

Group Service Agreement/Policy Applications

Group Size Attestation Form – English (PDF)

Must be completed & signed by the Employer Group.

Application for Group Service Agreement/Policy

• Application for Group Service Agreement/Policy – January 2021 (PDF)
• Application for Group Service Agreement/Policy – January 2020 (PDF)

Must be completed & signed by the Employer Group and Broker at time of enrollment and submitted along with check for first month's premium and enrollment forms. For renewals, this form must be completed and signed by the Employer Group and submitted to SBG Account Management for processing.

Religious Exemption Employer Form

Religious Exemption Employer Form – English (PDF)

Transition of Care

• Continuity of Care Assistance Request Form – English (PDF)
• Continuity of Care Assistance Request Form – En Español (Spanish) (PDF)
• Prescription Transition form – English (PDF)
• Prescription Transition form – En Español (Spanish) (PDF)

Claims

• Commercial Medical Claim Form – English (PDF)
• Commercial Medical Claim Form – En Español (Spanish) (PDF)
• Commercial MHN Claim Form – English (PDF)
• Prescription Drug Claim Form – English (PDF)
• Prescription Drug Claim Form – En Español (Spanish) (PDF)
• Dental Claim Form – English (PDF)
• Vision Claim Form – English (PDF)

HIPAA Disclosures

• Group Health Plan HIPAA Disclosure Forms – Disclosure Directive
• Authorization For Disclosure of PHI – English (PDF)
• Authorization For Disclosure of PHI – En Español (Spanish) (PDF)
• Authorization For Disclosure of PHI – 中文 (Chinese) (PDF)
• Authorization For Disclosure of PHI – 한국어 (Korean) (PDF)

Health Net Life Insurance Forms

• Employee Enrollment and Change Form – English (PDF)
• Employee Enrollment and Change Form – En Español (Spanish) (PDF)
• Group Life Insurance Conversion Form – English (PDF)
• Evidence of Insurability Life Form – English (PDF)
• Life Insurance Claim Form - English (PDF)

Additional Forms

• Employer Group Size Verification Form – English (PDF)
• Electronic Check Form – English (PDF)
• Proof of Eligibility Statement For Sole Proprietor, Partner or Corporate Officer – English (PDF)
• Principal Business or Headquarters Address Questionnaire – English (PDF)

New to Health Net? Contact Health Net Account Management, 1-800-447-8812, option 2, for questions on standard benefit rates. Looking for CalChoice or Covered California Small Business rates? Visit the CalChoice website, or contact Covered California Small Business at 1-877-752-4737.

Standard

• Q4 2021 – Standard Rate Guide – English (PDF)
  Rates effective October 1, 2021 through December 31, 2021
• Q3 2021 – Standard Rate Guide – English (PDF)
  Rates effective July 1, 2021 through September 30, 2021
• Q2 2021 – Standard Rate Guide – English (PDF)
  Rates effective April 1, 2021 through June 30, 2021
• Q1 2021 – Standard Rate Guide – English (PDF)
  Rates effective January 1, 2021, through March 31, 2021
• Q4 2020 – Standard Rate Guide – English (PDF)
  Rates effective October 1, 2020, through December 30, 2020
• Q3 2020 – Standard Rate Guide – English (PDF)
  Rates effective July 1, 2020, to September 30, 2020
• Q2 2020 – Standard Rate Guide – English (PDF)
  Rates effective April 1, 2020, to June 30, 2020
• Q1 2020 – Standard Rate Guide – English (PDF)
• Rates effective January 1, 2020, through March 31, 2020

Underwriting Promotions – English (PDF)

Underwriting Guidelines – March 2021

• March 2021 – Enhanced Choice A – English (PDF)
• March 2021 – Enhanced Choice B – English (PDF)
• March 2021 – Dental and Vision – English (PDF)
• March 2021 – Health Net Life – English (PDF)

Underwriting Guidelines – January 2021

• January 2021 – Enhanced Choice A – English (PDF)
• January 2021 – Enhanced Choice B – English (PDF)
• January 2021 – Dental and Vision – English (PDF)
• January 2021 – Health Net Life – English (PDF)

Underwriting Guidelines – October 2020

• October 2020 – Enhanced Choice A – English (PDF)
• October 2020 – Enhanced Choice B – English (PDF)
• October 2020 – Dental and Vision – English (PDF)
• October 2020 – Health Net Life – English (PDF)

Broker Portal Overview – English (PDF)

Health Care Reform Materials

• Summary of Benefits and Coverage (SBC) Instructions Sheet – English (PDF)
• Preventive Care Services Overview (ACA Non-Grandfathered Plans) – English (PDF)
• Preventive Care Services Overview (ACA Non-Grandfathered Plans) – En Español (Spanish) (PDF)

Support Tools

Available through your PPO insurance plan and the SELECT/ELECT 2 (PPO) tier of your SELECT (POS) or Elect Open Access health plan.

• Active&Fit Direct Member Flyer – English (PDF)
• Active&Fit Direct Member Flyer – En Español (Spanish) (PDF)
• Babylon Flyer – English (PDF)
• Babylon Flyer – En Español (Spanish) (PDF)
• CommunityCare HMO Sell Sheet – English (PDF)
• Chiropractic Care flyer – English (PDF)
• HMO Flu Shot Flyer – English (PDF)
• HMO Flu Shot Flyer – En Español (Spanish) (PDF)
• Understanding the Continuity of Care Assistance Policy – English (PDF)
• How To Read Your Commission Statement – English (PDF)
• Top Reasons to Sell Health Net – English (PDF)
• Health Net Financial Strength and Stability – English (PDF)
• Health Net Beginnings Flyer – with temporary ID card – English (PDF)
• Health Net Beginnings Flyer – with temporary ID card – En Español (Spanish) (PDF)
• Prior-Carrier Deductible Credit Flyer – English (PDF)
• Commercial Sales Guidelines – English (PDF)
• Information for Small Business Groups – English (PDF)
• ER vs. Urgent Care – English (PDF)
• Employer Welcome Guide – English (PDF)
• HealthNet.com Flyer – English (PDF)
• HealthNet.com Flyer – En Español (Spanish) (PDF)
• Uniform Glossary of Health Coverage and Medical Terms – English (PDF)
• Uniform Glossary of Health Coverage and Medical Terms – En Español (Spanish) (PDF)
• Uniform Glossary of Health Coverage and Medical Terms – (Chinese) (PDF)
• Uniform Glossary of Health Coverage and Medical Terms – Navajo (PDF)
• Uniform Glossary of Health Coverage and Medical Terms – (Korean) (PDF)

Health insurance companies and group health plans are required to make available a uniform glossary of health coverage and medical terms commonly used in plan documents. The Uniform Glossary is meant to help the consumer, understand some of the most common language used in health insurance documents. Please log in to request a hardcopy of the document by mail.

• HSA Employer Flyer – English (PDF)
• HSA Member Brochure – English (PDF)
• Bank of America HSA Enrollment Packet – English (PDF)

Online Support Tools

• Group Administrator Registration Guide – English (PDF)
• EFT Set Up Instructions (PDF)
• Employer Online Billing and Enrollment Brochure (PDF)

First Health National (Out-of-State) PPO

• First Health Physician Nomination Form – English (PDF)
• Broker First Health National PPO Network FAQ – English (PDF)
• Member First Health National PPO Network FAQ (for groups renewing after 1/1/2019) – English (PDF)

• Mail Order Pharmacy and Maintenance Choice^® Program – English (PDF)
• Mail Order Pharmacy and Maintenance Choice Program – En Español (Spanish) (PDF)
• Coverage of Blood Glucose Test Strips – For New Members – English (PDF)
• Take Medications the Right Way – English (PDF)
• Generic vs Brand-Name Drugs Information – English (PDF)
• Getting Started With Mail Order Pharmacy Kit – English (PDF)
• Getting Started With Mail Order Pharmacy Kit – En Español (Spanish) (PDF)

• Ancillary Product Guide – English (PDF)
• Dental/Vision Sell Sheet – English (PDF)
• Pediatric Dental/Vision (HMO/HSP) – English (PDF)
• Pediatric Dental/Vision (PPO) – English (PDF)
• Pediatric Dental/Vision (EPO/EC-PPO) – English (PDF)

Health Net Life

These forms are customizable to allow for the addition of benefit level.

• Basic Life Insurance with AD&D – English (PDF)
• Basic Life Insurance with AD&D – En Español (Spanish) (PDF)
• Basic Life Insurance no AD&D – English (PDF)

Travel Guides

• HMO/POS Travel Guide – English (PDF)
• HMO/POS Travel Guide – En Español (Spanish) (PDF)

Members can download claim forms at Health Net. Claim forms can also be found under the Applications and Forms section on this page.

• PPO Travel Guide – English (PDF)
• PPO Travel Guide – En Español (Spanish) (PDF)

Members can download claim forms at Health Net. Claim forms can also be found under the Applications and Forms section on this page.

Additional Materials

• Understanding your Explanation of Benefits (EOB) – (English/Spanish) (PDF)
• Out-of-Pocket Maximum Notification – English (PDF)
• Understanding Your Billing Statement – English (PDF)

Download only

Out-of-Pocket Maximum Notification – English (PDF)

• FlexSystem Highlights Overview – English (PDF)
• FlexSystem Premium Only Plan (POP) Information Sheet – English (PDF)
• Premium Only Plan Marketing Manual – English (PDF)

Dental – HMO

• Dental – HMO – Health Net Plus 150 – Plan Overview – English (PDF)
• Dental – HMO – Health Net Plus 150 – Plan Overview – En Español (Spanish) (PDF)
• Dental – HMO – Health Net Plus 150 – Schedule of Benefits – English (PDF)
• Dental – HMO – Health Net Plus 225 – Plan Overview – English (PDF)
• Dental – HMO – Health Net Plus 225 – Schedule of Benefits – English (PDF)

Dental – PPO

• Dental – PPO – Classic 4 1500 – English (PDF)
• Dental – PPO – Classic 5 1500 – English (PDF)
• Dental – PPO – Essential 2 1000 – English (PDF)
• Dental – PPO – Essential 5 1500 – English (PDF)
• Dental – PPO – Essential 6 1500 – English (PDF)

Vision Plans

• Vision Plans – Exam Only – English (PDF)
• Vision Plans – Elite 1010-1 – English (PDF)
• Vision Plans – Plus 20-1 – English (PDF)
• Vision Plans – Preferred 1025-2 – English (PDF)
• Vision Plans – Preferred 1025-3 – English (PDF)
• Vision Plans – Preferred 1025-3 – En Español (Spanish) (PDF)
• Vision Plans – Preferred Value 10-3 – English (PDF)
• Vision Plans – Supreme 010-2 – English (PDF)

Dental – HMO

• Dental – HMO – Health Net Plus 150 – Plan Overview – English (PDF)
• Dental – HMO – Health Net Plus 150 – Plan Overview – En Español (Spanish) (PDF)
• Dental – HMO – Health Net Plus 150 – Schedule of Benefits – English (PDF)
• Dental – HMO – Health Net Plus 225 – Plan Overview – English (PDF)
• Dental – HMO – Health Net Plus 225 – Schedule of Benefits – English (PDF)

Dental – PPO

• Dental – PPO – Classic 4 1500 – English (PDF)
• Dental – PPO – Classic 5 1500 – English (PDF)
• Dental – PPO – Essential 2 1000 – English (PDF)
• Dental – PPO – Essential 5 1500 – English (PDF)
• Dental – PPO – Essential 5 1500 – Spanish (PDF)
• Dental – PPO – Essential 6 1500 – English (PDF)

Vision Plans

• Vision Plans – Exam Only – English (PDF)
• Vision Plans – Elite 1010-1 – English (PDF)
• Vision Plans – Plus 20-1 – English (PDF)
• Vision Plans – Preferred 1025-2 – English (PDF)
• Vision Plans – Preferred 1025-3 – English (PDF)
• Vision Plans – Preferred 1025-3 – En Español (Spanish) (PDF)
• Vision Plans – Preferred Value 10-3 – English (PDF)
• Vision Plans – Supreme 010-2 – English (PDF)

• Decision Power^® Member Brochure – English (PDF)
• Decision Power^® Member Brochure – En Español (Spanish) (PDF)
• Decision Power^® – Ready to Lose Weight? – English (PDF)
• Decision Power^® – Ready to Lose Weight? – En Español (Spanish) (PDF)
• Wellness Online – English (PDF)
• Wellness Online – En Español (Spanish) (PDF)
• Wellness Incentive Member Brochure and FAQ – English (PDF)
• Wellness Incentive Member Brochure and FAQ – En Español (Spanish) (PDF)
• Healthy Discounts Member Flyer – English (PDF)
• Healthy Discounts Member Flyer – En Español (Spanish) (PDF)
• myStrength Program Flyer – English (PDF)
• myStrength Program Flyer – En Español (Spanish) (PDF)
• Health Coaching Program Flyer – English (PDF)
• Smoking and Tobacco Cessation – English (PDF)
• Smoking and Tobacco Cessation – En Español (Spanish) (PDF)
• Tips to Stop Smoking – English (PDF)
• Tips to Stop Smoking – En Español (Spanish) (PDF)
• Preventive Screening Guidelines – English (PDF)
• Preventive Screening Guidelines – En Español (Spanish) (PDF)
• Text4Baby Flyer – English (PDF)
• Text4Baby Flyer – En Español (Spanish) (PDF)

Promotional flyer and press releases for Health Net's new "Text4Baby" program. This new service provides the expectant mother with 3 free text messages a week, providing helpful information throughout her pregnancy and for baby's first year.

Broker / Employer Materials

• Decision Power Employer/Broker Toolkit – English (PDF)
• Wellness Rewards Program Brokers – English (PDF)
• Wellness Rewards Program Employer FAQ – English (PDF)
• National Observances Calendar for Employers – English (PDF)
• Wellness Webinar flyer for Employers – English (PDF)
• Wellness Seminars Menu – English (PDF)

• Salud HMO y Mas Service Area ZIP Codes – English (PDF)
• Member – Salud HMO y Más Brochure – English/Spanish (PDF)

Refer to County Reference Quick Guide to determine service areas in each directory. Other reference quick guides coming soon – Northern California, Orange, Riverside, San Bernardino.

• Tailored Networks Comparison Lists – Northern California - English (PDF)
• Tailored Networks Comparison Lists – Central California - English (PDF)
• Tailored Networks Comparison Lists – Los Angeles County - English (PDF)
• Tailored Networks Comparison Lists – Orange County - English (PDF)
• Tailored Networks Comparison Lists – Riverside County - English (PDF)
• Tailored Networks Comparison Lists – San Bernardino County - English (PDF)
• Tailored Networks Comparison Lists – San Diego County - English (PDF)
• How Soon Can I See the Doctor – English (PDF)
• How Soon Can I See the Doctor – En Español (Spanish) (PDF)
• ProviderSearch Information – English (PDF)
• ProviderSearch Information – En Español (Spanish) (PDF)
• County Reference Quick Guide – English (PDF)

Provider Directories

If you are looking for a participating provider, please use ProviderSearch.