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IMPORTANT MEMBER DOCUMENTS

 

Latest Member Newsletter

 

2008 Plan Change Forms

            Lake            Marion
            Orange            Osceola
            Polk            Seminole
            Sumter            Hillsborough
            Pasco            Pinellas
 

Annual Notice of Change

 



Evidence of Coverage

It explains your rights, benefits, and responsibilities as a member of Physicians United Plan. It also explains our responsibilities to you.



Enrollment Form


Disenrollment Form



Phone: 1-866-571-0693 TTY/TDD: 1-866-671-0693
You are Visitor Number: 16445 Page Last Updated:  3/17/2008