| 40572FL0200003 |
Bronze Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200024 |
Bronze Classic 4700 |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070024 |
Bronze Classic 4700 |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200050 |
Bronze Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070050 |
Bronze Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070005 |
Bronze Elite + PCP Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200005 |
Bronze Elite + PCP Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200043 |
Bronze Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070043 |
Bronze Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070012 |
Bronze Elite + Specialist Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070013 |
Gold Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200053 |
Gold Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070053 |
Gold Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070036 |
Gold Elite |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070035 |
Gold Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200011 |
Secure |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070011 |
Secure |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070006 |
Silver Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070052 |
Silver Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200052 |
Silver Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070016 |
Silver Elite |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200016 |
Silver Elite |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200030 |
Silver Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070015 |
Silver Simple |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200001 |
Silver Simple |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200025 |
Silver Simple PCP Saver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0070025 |
Silver Simple PCP Saver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 40572FL0200003 |
Bronze Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070003 |
Bronze Classic |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070024 |
Bronze Classic- Deductible Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200024 |
Bronze Classic- Deductible Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200002 |
Bronze Classic- PCP Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070002 |
Bronze Classic- PCP Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070021 |
Bronze Classic- PCP Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200021 |
Bronze Classic- PCP Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070050 |
Bronze Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200050 |
Bronze Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070005 |
Bronze Elite- Deductible+PCP Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200005 |
Bronze Elite- Deductible+PCP Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200043 |
Bronze Elite- Deductible Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070043 |
Bronze Elite- Deductible Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200012 |
Bronze Elite- Deductible+Specialist Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070012 |
Bronze Elite- Deductible+Specialist Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200014 |
Bronze Simple- HSA |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070014 |
Bronze Simple- HSA |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200051 |
Bronze Simple- Standard |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070051 |
Bronze Simple- Standard |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200013 |
Gold Classic |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070013 |
Gold Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200053 |
Gold Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070053 |
Gold Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200036 |
Gold Elite |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070036 |
Gold Elite |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200035 |
Gold Elite- Deductible Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070035 |
Gold Elite- Deductible Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070011 |
Secure |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200011 |
Secure |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200006 |
Silver Classic |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070006 |
Silver Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200017 |
Silver Classic- Deductible Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070017 |
Silver Classic- Deductible Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200009 |
Silver Classic- PCP Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070009 |
Silver Classic- PCP Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200052 |
Silver Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070052 |
Silver Classic- Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070016 |
Silver Elite |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200016 |
Silver Elite |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070030 |
Silver Elite- Deductible Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200030 |
Silver Elite- Deductible Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200028 |
Silver Elite- PCP Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070028 |
Silver Elite- PCP Saver Plus |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200001 |
Silver Simple |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070015 |
Silver Simple |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070045 |
Silver Simple- For Diabetes |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200045 |
Silver Simple- For Diabetes |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0200025 |
Silver Simple- PCP Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0070025 |
Silver Simple- PCP Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 01, 2023 |
| 40572FL0200008 |
Silver Simple- Specialist Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070008 |
Silver Simple- Specialist Saver |
2023 |
FLN001
|
Mar 01, 2023 |
| 40572FL0070003 |
Bronze Classic |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200003 |
Bronze Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070021 |
Bronze Classic- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200021 |
Bronze Classic- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200039 |
Bronze Classic- $4000 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070039 |
Bronze Classic- $4000 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200024 |
Bronze Classic- $4700 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070024 |
Bronze Classic- $4700 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070002 |
Bronze Classic- PCP Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200002 |
Bronze Classic- PCP Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200022 |
Bronze Classic- Specialist Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070022 |
Bronze Classic- Specialist Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200043 |
Bronze Elite- $0 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070043 |
Bronze Elite- $0 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070005 |
Bronze Elite- $0 Ded+PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200005 |
Bronze Elite- $0 Ded+PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200012 |
Bronze Elite- $0 Ded+Specialist Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070012 |
Bronze Elite- $0 Ded+Specialist Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070042 |
Bronze Elite- $1000 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200042 |
Bronze Elite- $1000 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200004 |
Bronze Simple |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070001 |
Bronze Simple |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070014 |
Bronze Simple- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200014 |
Bronze Simple- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070013 |
Gold Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200013 |
Gold Classic |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200034 |
Gold Classic- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070034 |
Gold Classic- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200037 |
Gold Classic- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070037 |
Gold Classic- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200020 |
Gold Classic- Low Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070020 |
Gold Classic- Low Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200036 |
Gold Elite |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070036 |
Gold Elite |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200035 |
Gold Elite- $0 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070035 |
Gold Elite- $0 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200033 |
Gold Simple |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070033 |
Gold Simple |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200011 |
Secure |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070011 |
Secure |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200006 |
Silver Classic |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070006 |
Silver Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200017 |
Silver Classic- $0 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070017 |
Silver Classic- $0 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200027 |
Silver Classic- Low Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070027 |
Silver Classic- Low Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070009 |
Silver Classic- PCP Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200009 |
Silver Classic- PCP Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070016 |
Silver Elite |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200016 |
Silver Elite |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200030 |
Silver Elite- $0 Ded |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070030 |
Silver Elite- $0 Ded |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200028 |
Silver Elite- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070028 |
Silver Elite- $0 PCP |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070015 |
Silver Simple |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200001 |
Silver Simple |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200045 |
Silver Simple- For Diabetes |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070045 |
Silver Simple- For Diabetes |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070029 |
Silver Simple- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200029 |
Silver Simple- HSA |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0070025 |
Silver Simple- PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0200025 |
Silver Simple- PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Apr 06, 2022 |
| 40572FL0070008 |
Silver Simple- Specialist Saver |
2022 |
FLN001
|
Apr 06, 2022 |
| 40572FL0200008 |
Silver Simple- Specialist Saver |
2022 |
FLN001
|
Apr 06, 2022 |
