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Home
Agents
Central Oregon, Eastern Oregon, and Mid-Columbia Gorge
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Dual Care (D-SNP) Plan Sales Brochure
2024 Sales Brochure
2024 LIS Premium Information
2025 Dual Care (D-SNP) Plan Sales Brochure
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Dual Care Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 14 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 27 Plan
2024 Essentials Rx 6 Plan
2024 Essentials Rx 803 Plan
2025 Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 14 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 27 Plan
2025 Essentials Rx 6 Plan
Evidence Of Coverage (EOC)
2024 Dual Care Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 14 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 27 Plan
2024 Essentials Rx 6 Plan
2024 Essentials Rx 803 Plan
2025 Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 14 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 27 Plan
2025 Essentials Rx 6 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 14 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 27 Plan
2024 Essentials Rx 6 Plan
2024 PacificSource Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 14 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 27 Plan
2025 Essentials Rx 6 Plan
2025 PacificSource Dual Care Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Lane County
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Dual Care (D-SNP) Plan Sales Brochure
2024 Sales Brochure
2024 LIS Premium Information
2025 Dual Care (D-SNP) Plan Sales Brochure
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Dual Care Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 41 Plan
2024 Essentials Rx 803 Plan
2024 Explorer 8 Plan
2024 Explorer Rx 4 Plan
2025 Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 41 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 4 Plan
Evidence Of Coverage (EOC)
2024 Dual Care Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 41 Plan
2024 Essentials Rx 803 Plan
2024 Explorer 8 Plan
2024 Explorer Rx 4 Plan
2025 Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 41 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 4 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Essentials Choice 2 Plan
2024 Essentials Choice Rx 36 Plan
2024 Essentials Rx 41 Plan
2024 Explorer 8 Plan
2024 Explorer Rx 4 Plan
2024 PacificSource Dual Care Plan
2025 Essentials Choice 2 Plan
2025 Essentials Choice Rx 36 Plan
2025 Essentials Rx 41 Plan
2025 Explorer 6 Plan
2025 Explorer 8 Plan
2025 Explorer Rx 4 Plan
2025 PacificSource Dual Care Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Portland Metro Area
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Dual Care (D-SNP) Plan Sales Brochure
2024 Sales Brochure
2024 LIS Premium Information
2025 Dual Care (D-SNP) Plan Sales Brochure
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Dual Care Plan
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2025 Dual Care Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
Evidence Of Coverage (EOC)
2024 Dual Care Plan
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2025 Dual Care Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2024 PacificSource Dual Care Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
2025 PacificSource Dual Care Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Marion and Polk Counties
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
2024 Dual Care (D-SNP) Plan Sales Brochure
2025 Dual Care (D-SNP) Plan Sales Brochure
Summary of Benefits (SB)
2024 Dual Care Plan
2025 Dual Care Plan
Evidence Of Coverage (EOC)
2024 Dual Care Plan
2025 Dual Care Plan
Annual Notice of Change (ANOC)
2024 PacificSource Dual Care Plan
2025 PacificSource Dual Care Plan
Forms
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Eastern Idaho
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 LIS Premium Information
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
PERSI Sick Leave Authorization Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
Medical Claims Reimbursement Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Idaho Inland Northwest
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
PERSI Sick Leave Authorization Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
Medical Claims Reimbursement Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
North Idaho
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
Evidence Of Coverage (EOC)
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
Annual Notice of Change (ANOC)
2025 Explorer 12 Plan
2025 Explorer 6 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Southern Idaho
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Choice Rx 32 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice Rx 24 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Choice Rx 32 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice Rx 24 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Rx Choice 32 Plan
2025 Explorer 6 Plan
2025 MyCare Choice Rx 24 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
PERSI Sick Leave Authorization Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Southwest Idaho
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Choice Rx 32 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice Rx 24 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Choice Rx 32 Plan
2025 Explorer 6 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice Rx 24 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice Rx 24 Plan
2024 MyCare Rx Choice 32 Plan
2025 Explorer 6 Plan
2025 MyCare Choice Rx 24 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
PERSI Sick Leave Authorization Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Missoula County Montana
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 17 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 17 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer 6 Plan
2024 Explorer Rx 17 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Yellowstone County Montana
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
2025 Sales Brochure
2025 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 29 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 29 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 29 Plan
2025 Explorer Rx 18 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 29 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 29 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 29 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
2025 Enrollment Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Clark County Washington
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
2025 Sales Brochure
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
2024 MyCare Rx 40 Plan
2025 MyCare Choice 30 Plan
2025 MyCare Choice Rx 34 Plan
2025 MyCare Rx 40 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
2024 Optional Dental Enrollment Form
Medical Claims Reimbursement Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists
Washington Inland Northwest and Puget Sound
Brochures & Fliers
Medical (Part C) EOB Guide
Multi-language Interpreter Services
Medicare Pre-Enrollment Checklist
2024 Sales Brochure
2024 LIS Premium Information
Summary of Benefits (SB)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Evidence Of Coverage (EOC)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Annual Notice of Change (ANOC)
2024 Essentials Rx 803 Plan
2024 Explorer 12 Plan
2024 Explorer Rx 11 Plan
2024 MyCare Choice 30 Plan
2024 MyCare Choice Rx 34 Plan
Forms
Premium Payment Form
CVS Pharmacy Mail Order Form
Pharmacy Prior Authorization Form
Prior Prescription Drug Coverage Form
Producer of Record Change Request
Release of Health Information Form
Scope of Sales Appointment Confirmation Form
Appointment of Representative Form
2024 Enrollment Form
Medical Claims Reimbursement Form
Third Party Marketing Organization (TPMO) Documents
TPMO Overview
TPMO Checklists