Page 5 - Enrollment Guide Example
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[Carrier] Member Site

The [Carrier] member site, www.[Carrier].com offers many valuable
services including the following.

“ Providers and pharmacy searches

“ Prescription drug formulary

“ Access to temporary ID cards and means to order another ID card
“ Information regarding paid and pending claims

“ Health and wellness information

You can search for participating providers on the [Carrier] site,
www.[Carrier].com. Complete the following steps.

1. Go to [Carrier].com

2. Click on “Find a Doctor” on the left side of the screen

3. Click “Provider Finder”, then select the state in which you live
4. Choose “PPO (Participating Provider Options) for network type”

5. Enter additional search criteria



[20XX] Employee Contributions

Medical [Plan 1] [Plan 2] [Plan 3] [Plan 4]
Bi-weekly Bi-weekly Bi-weekly Bi-weekly
Employee only $ $ $ $
Employee and spouse $ $ $ $
Employee and child(ren) $ $ $ $
Employee and family $ $ $ $


























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