Index of /pdfs/2012

• Parent Directory
• APP07, Prepaid ONLY.pdf
• APP08 Prepaid ONLY.pdf
• APP10 Indemnity Only.pdf
• APP10 PPO Only.pdf
• Agent_Application.pdf
• Bankdraft2012, Authorization to Honor ACH Drawn By Guaranty Assurance Company.pdf
• Bankdraft2014, Authorization to Honor ACH Drawn By Guaranty Assurance Company.pdf
• Claim_Form.pdf
• Credit Card Payment Form Master, 2012.pdf
• Credit Card Payment Form Master, 2014.pdf
• DHMO_Fee_Schedule.pdf
• DINA Change Form, 2012.pdf
• Dentist Referral Form, 2012.pdf
• GA07, Group Application 2012.pdf
• Group Retiree Payment Change Form 2012.pdf
• Indemnity_Plan_Flyer.pdf
• Louisiana State Employees & Retirees Application Submission Process, 2014.pdf
• Louisiana State Employees Cancellation Process, 2012.pdf
• Louisiana State Employees Cancellation Process, 2014.pdf
• Louisiana_State_Employees _Retirees_Application_SubmissionProcess_3-14-12.pdf
• MASTER - AGENT Info Packet, Pages 1-35, 2014.pdf
• Master - Agent Info Packet Pages 1 - 29, 2012.pdf
• Master Agent Info Packet, Pages 1-28, 2012.pdf
• PHN 2013 Benefits_Updated 10.2012_revised_Website.pdf
• PHN Choices 2015.pdf
• PHN Choices 65, Choices Plus, Choices Select.pdf
• PHN Group Medicare HMO POS, Group Medicare HMO POS for Office of Group Benefits, 2015.pdf
• PHN PH Group Medicare MA-PD.pdf
• PHN Secure Choice HMO SNP, Secure Health HMO SNP, 2015.pdf
• PHN Secure Health, Secure Choice.pdf
• PHN_Benefits.pdf
• PH_Group_medicare_PHN_20131206.pdf
• PPO Plan Flyer 2012.pdf
• PPO_Fee_Schedule.pdf
• PPO_Plan_Flyer.pdf
• People's Health Network Fee Schedule 2012.pdf
• Prepaid Fee Schedule 2012.pdf
• Prepaid Plan Flyer 2012.pdf
• Prepaid_Plan_Flyer.pdf
• Quote_Request.pdf
• Retiree Payment Change Form 2012.pdf
• Retiree Payment Change Form 2014.pdf
• Retirees Changing to Monthly Bank Draft Form 2012.pdf
• SED4 Guaranty Assurance R 01-101, 2012, Highlighted.pdf
• Secure_health_Choice_PHN_20131206.pdf
• State Passive PPO, App for 2012.pdf
• State Passive PPO, Brochure for 2012.pdf
• State Prepaid App 2012.pdf
• State Prepaid Fee Schedule 2012.pdf
• State Prepaid Plan Brochure 2012.pdf
• State Prepaid Plan Brochure Effective 7-1-2012.pdf
• State_Application.pdf
• State_Group_PPO_Benefits.pdf
• State_Group_PPO_Fees.pdf
• State_Group_Prepaid_Fees.pdf
• State_Payroll_Deduction_Authorization.pdf
• choices65_Plus_Select_PHN_20131206.pdf