chppayment.christushealth.org - /documents/2022/
[To Parent Directory]
10/15/2020 12:59 PM 1256513 66252_American_Indian_Zero.pdf
10/15/2020 12:59 PM 1256797 66252_American_Indian_Zero_Plus.pdf
10/15/2020 12:59 PM 1249360 66252_Bronze.pdf
10/15/2020 12:59 PM 1250343 66252_Bronze_HSA.pdf
10/15/2020 12:59 PM 1315174 66252_Bronze_HSA_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1323333 66252_Bronze_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1249842 66252_Bronze_Plus.pdf
10/15/2020 12:59 PM 1323299 66252_Bronze_Plus_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1236582 66252_Catastrophic.pdf
10/15/2020 12:59 PM 1260764 66252_Gold.pdf
10/15/2020 12:59 PM 1325734 66252_Gold_Limited_Cost_Sharing.pdf
11/3/2020 10:33 AM 1253663 66252_Platinum.pdf
10/15/2020 12:59 PM 1253271 66252_Silver_Basic_HD.pdf
10/15/2020 12:59 PM 1253630 66252_Silver_Basic_HD_73.pdf
10/15/2020 12:59 PM 1254326 66252_Silver_Basic_HD_87.pdf
10/15/2020 12:59 PM 587931 66252_Silver_Basic_HD_94.pdf
10/15/2020 12:59 PM 1316992 66252_Silver_Basic_HD_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1260574 66252_Silver_HD.pdf
10/15/2020 12:59 PM 1262395 66252_Silver_HD_73.pdf
10/15/2020 12:59 PM 1263156 66252_Silver_HD_87.pdf
10/15/2020 12:59 PM 1256698 66252_Silver_HD_94.pdf
10/15/2020 12:59 PM 1327330 66252_Silver_HD_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1260073 66252_Silver_LD.pdf
10/15/2020 12:59 PM 1260828 66252_Silver_LD_73.pdf
10/15/2020 12:59 PM 591806 66252_Silver_LD_87.pdf
10/15/2020 12:59 PM 1261731 66252_Silver_LD_94.pdf
10/15/2020 12:59 PM 1324158 66252_Silver_LD_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1257604 66252_Silver_Plus_HD.pdf
10/15/2020 12:59 PM 1261695 66252_Silver_Plus_HD_73.pdf
10/15/2020 12:59 PM 1259040 66252_Silver_Plus_HD_87.pdf
10/15/2020 12:59 PM 593048 66252_Silver_Plus_HD_94.pdf
10/15/2020 12:59 PM 1329545 66252_Silver_Plus_HD_Limited_Cost_Sharing.pdf
10/15/2020 12:59 PM 1236582 66252TX001000100.pdf
10/15/2020 12:59 PM 1236582 66252TX001000101.pdf
10/15/2020 12:59 PM 1236582 66252TX001000200.pdf
10/15/2020 12:59 PM 1236582 66252TX001000201.pdf
10/15/2020 12:59 PM 1236582 66252TX001000300.pdf
10/15/2020 12:59 PM 1236582 66252TX001000301.pdf
10/15/2020 12:59 PM 1236582 66252TX001000400.pdf
10/15/2020 12:59 PM 1236582 66252TX001000401.pdf
10/15/2020 12:59 PM 1236582 66252TX001000600.pdf
10/15/2020 12:59 PM 1236582 66252TX001000601.pdf
10/15/2020 12:59 PM 1236582 66252TX001000700.pdf
10/15/2020 12:59 PM 1236582 66252TX001000701.pdf
10/15/2020 12:59 PM 1236582 66252TX001000800.pdf
10/15/2020 12:59 PM 1236582 66252TX001000801.pdf
10/15/2020 12:59 PM 1249360 66252TX003000100.pdf
10/15/2020 12:59 PM 1249360 66252TX003000101.pdf
10/15/2020 12:59 PM 1256513 66252TX003000102.pdf
10/15/2020 12:59 PM 1323333 66252TX003000103.pdf
10/15/2020 12:59 PM 1249360 66252TX003000200.pdf
10/15/2020 12:59 PM 1249360 66252TX003000201.pdf
10/15/2020 12:59 PM 1256513 66252TX003000202.pdf
10/15/2020 12:59 PM 1323333 66252TX003000203.pdf
10/15/2020 12:59 PM 1249360 66252TX003000300.pdf
10/15/2020 12:59 PM 1249360 66252TX003000301.pdf
10/15/2020 12:59 PM 1256513 66252TX003000302.pdf
10/15/2020 12:59 PM 1323333 66252TX003000303.pdf
10/15/2020 12:59 PM 1249360 66252TX003000400.pdf
10/15/2020 12:59 PM 1249360 66252TX003000401.pdf
10/15/2020 12:59 PM 1256513 66252TX003000402.pdf
10/15/2020 12:59 PM 1323333 66252TX003000403.pdf
10/15/2020 12:59 PM 1249360 66252TX003000600.pdf
10/15/2020 12:59 PM 1249360 66252TX003000601.pdf
10/15/2020 12:59 PM 1256513 66252TX003000602.pdf
10/15/2020 12:59 PM 1323333 66252TX003000603.pdf
10/15/2020 12:59 PM 1249360 66252TX003000700.pdf
10/15/2020 12:59 PM 1249360 66252TX003000701.pdf
10/15/2020 12:59 PM 1256513 66252TX003000702.pdf
10/15/2020 12:59 PM 1323333 66252TX003000703.pdf
10/15/2020 12:59 PM 1249360 66252TX003000800.pdf
10/15/2020 12:59 PM 1249360 66252TX003000801.pdf
10/15/2020 12:59 PM 1256513 66252TX003000802.pdf
10/15/2020 12:59 PM 1323333 66252TX003000803.pdf
10/15/2020 12:59 PM 1260574 66252TX004000100.pdf
10/15/2020 12:59 PM 1260574 66252TX004000101.pdf
10/15/2020 12:59 PM 1256513 66252TX004000102.pdf
10/15/2020 12:59 PM 1327330 66252TX004000103.pdf
10/15/2020 12:59 PM 1262395 66252TX004000104.pdf
10/15/2020 12:59 PM 1263156 66252TX004000105.pdf
10/15/2020 12:59 PM 1256698 66252TX004000106.pdf
10/15/2020 12:59 PM 1260574 66252TX004000200.pdf
10/15/2020 12:59 PM 1260574 66252TX004000201.pdf
10/15/2020 12:59 PM 1256513 66252TX004000202.pdf
10/15/2020 12:59 PM 1327330 66252TX004000203.pdf
10/15/2020 12:59 PM 1262395 66252TX004000204.pdf
10/15/2020 12:59 PM 1263156 66252TX004000205.pdf
10/15/2020 12:59 PM 1256698 66252TX004000206.pdf
10/15/2020 12:59 PM 1260574 66252TX004000300.pdf
10/15/2020 12:59 PM 1260574 66252TX004000301.pdf
10/15/2020 12:59 PM 1256513 66252TX004000302.pdf
10/15/2020 12:59 PM 1327330 66252TX004000303.pdf
10/15/2020 12:59 PM 1262395 66252TX004000304.pdf
10/15/2020 12:59 PM 1263156 66252TX004000305.pdf
10/15/2020 12:59 PM 1256698 66252TX004000306.pdf
10/15/2020 12:59 PM 1260574 66252TX004000400.pdf
10/15/2020 12:59 PM 1260574 66252TX004000401.pdf
10/15/2020 12:59 PM 1256513 66252TX004000402.pdf
10/15/2020 12:59 PM 1327330 66252TX004000403.pdf
10/15/2020 12:59 PM 1262395 66252TX004000404.pdf
10/15/2020 12:59 PM 1263156 66252TX004000405.pdf
10/15/2020 12:59 PM 1256698 66252TX004000406.pdf
10/15/2020 12:59 PM 1260574 66252TX004000600.pdf
10/15/2020 12:59 PM 1260574 66252TX004000601.pdf
10/15/2020 12:59 PM 1256513 66252TX004000602.pdf
10/15/2020 12:59 PM 1327330 66252TX004000603.pdf
10/15/2020 12:59 PM 1262395 66252TX004000604.pdf
10/15/2020 12:59 PM 1263156 66252TX004000605.pdf
10/15/2020 12:59 PM 1256698 66252TX004000606.pdf
10/15/2020 12:59 PM 1260574 66252TX004000700.pdf
10/15/2020 12:59 PM 1260574 66252TX004000701.pdf
10/15/2020 12:59 PM 1256513 66252TX004000702.pdf
10/15/2020 12:59 PM 1327330 66252TX004000703.pdf
10/15/2020 12:59 PM 1262395 66252TX004000704.pdf
10/15/2020 12:59 PM 1263156 66252TX004000705.pdf
10/15/2020 12:59 PM 1256698 66252TX004000706.pdf
10/15/2020 12:59 PM 1260574 66252TX004000800.pdf
10/15/2020 12:59 PM 1260574 66252TX004000801.pdf
10/15/2020 12:59 PM 1256513 66252TX004000802.pdf
10/15/2020 12:59 PM 1327330 66252TX004000803.pdf
10/15/2020 12:59 PM 1262395 66252TX004000804.pdf
10/15/2020 12:59 PM 1263156 66252TX004000805.pdf
10/15/2020 12:59 PM 1256698 66252TX004000806.pdf
10/15/2020 12:59 PM 1260073 66252TX005000100.pdf
10/15/2020 12:59 PM 1260073 66252TX005000101.pdf
10/15/2020 12:59 PM 1256513 66252TX005000102.pdf
10/15/2020 12:59 PM 1324158 66252TX005000103.pdf
10/15/2020 12:59 PM 1260828 66252TX005000104.pdf
10/15/2020 12:59 PM 591806 66252TX005000105.pdf
10/15/2020 12:59 PM 1261731 66252TX005000106.pdf
10/15/2020 12:59 PM 1260073 66252TX005000200.pdf
10/15/2020 12:59 PM 1260073 66252TX005000201.pdf
10/15/2020 12:59 PM 1256513 66252TX005000202.pdf
10/15/2020 12:59 PM 1324158 66252TX005000203.pdf
10/15/2020 12:59 PM 1260828 66252TX005000204.pdf
10/15/2020 12:59 PM 591806 66252TX005000205.pdf
10/15/2020 12:59 PM 1261731 66252TX005000206.pdf
10/15/2020 12:59 PM 1260073 66252TX005000300.pdf
10/15/2020 12:59 PM 1260073 66252TX005000301.pdf
10/15/2020 12:59 PM 1256513 66252TX005000302.pdf
10/15/2020 12:59 PM 1324158 66252TX005000303.pdf
10/15/2020 12:59 PM 1260828 66252TX005000304.pdf
10/15/2020 12:59 PM 591806 66252TX005000305.pdf
10/15/2020 12:59 PM 1261731 66252TX005000306.pdf
10/15/2020 12:59 PM 1260073 66252TX005000400.pdf
10/15/2020 12:59 PM 1260073 66252TX005000401.pdf
10/15/2020 12:59 PM 1256513 66252TX005000402.pdf
10/15/2020 12:59 PM 1324158 66252TX005000403.pdf
10/15/2020 12:59 PM 1260828 66252TX005000404.pdf
10/15/2020 12:59 PM 591806 66252TX005000405.pdf
10/15/2020 12:59 PM 1261731 66252TX005000406.pdf
10/15/2020 12:59 PM 1260073 66252TX005000600.pdf
10/15/2020 12:59 PM 1260073 66252TX005000601.pdf
10/15/2020 12:59 PM 1256513 66252TX005000602.pdf
10/15/2020 12:59 PM 1324158 66252TX005000603.pdf
10/15/2020 12:59 PM 1260828 66252TX005000604.pdf
10/15/2020 12:59 PM 591806 66252TX005000605.pdf
10/15/2020 12:59 PM 1261731 66252TX005000606.pdf
10/15/2020 12:59 PM 1260073 66252TX005000700.pdf
10/15/2020 12:59 PM 1260073 66252TX005000701.pdf
10/15/2020 12:59 PM 1256513 66252TX005000702.pdf
10/15/2020 12:59 PM 1324158 66252TX005000703.pdf
10/15/2020 12:59 PM 1260828 66252TX005000704.pdf
10/15/2020 12:59 PM 591806 66252TX005000705.pdf
10/15/2020 12:59 PM 1261731 66252TX005000706.pdf
10/15/2020 12:59 PM 1260073 66252TX005000800.pdf
10/15/2020 12:59 PM 1260073 66252TX005000801.pdf
10/15/2020 12:59 PM 1256513 66252TX005000802.pdf
10/15/2020 12:59 PM 1324158 66252TX005000803.pdf
10/15/2020 12:59 PM 1260828 66252TX005000804.pdf
10/15/2020 12:59 PM 591806 66252TX005000805.pdf
10/15/2020 12:59 PM 1261731 66252TX005000806.pdf
10/15/2020 12:59 PM 1260764 66252TX007000100.pdf
10/15/2020 12:59 PM 1260764 66252TX007000101.pdf
10/15/2020 12:59 PM 1256513 66252TX007000102.pdf
10/15/2020 12:59 PM 1325734 66252TX007000103.pdf
10/15/2020 12:59 PM 1260764 66252TX007000200.pdf
10/15/2020 12:59 PM 1260764 66252TX007000201.pdf
10/15/2020 12:59 PM 1256513 66252TX007000202.pdf
10/15/2020 12:59 PM 1325734 66252TX007000203.pdf
10/15/2020 12:59 PM 1260764 66252TX007000300.pdf
10/15/2020 12:59 PM 1260764 66252TX007000301.pdf
10/15/2020 12:59 PM 1256513 66252TX007000302.pdf
10/15/2020 12:59 PM 1325734 66252TX007000303.pdf
10/15/2020 12:59 PM 1260764 66252TX007000400.pdf
10/15/2020 12:59 PM 1260764 66252TX007000401.pdf
10/15/2020 12:59 PM 1256513 66252TX007000402.pdf
10/15/2020 12:59 PM 1325734 66252TX007000403.pdf
10/15/2020 12:59 PM 1260764 66252TX007000600.pdf
10/15/2020 12:59 PM 1260764 66252TX007000601.pdf
10/15/2020 12:59 PM 1256513 66252TX007000602.pdf
10/15/2020 12:59 PM 1325734 66252TX007000603.pdf
10/15/2020 12:59 PM 1260764 66252TX007000700.pdf
10/15/2020 12:59 PM 1260764 66252TX007000701.pdf
10/15/2020 12:59 PM 1256513 66252TX007000702.pdf
10/15/2020 12:59 PM 1325734 66252TX007000703.pdf
10/15/2020 12:59 PM 1260764 66252TX007000800.pdf
10/15/2020 12:59 PM 1260764 66252TX007000801.pdf
10/15/2020 12:59 PM 1256513 66252TX007000802.pdf
10/15/2020 12:59 PM 1325734 66252TX007000803.pdf
10/15/2020 12:59 PM 1250343 66252TX008000100.pdf
10/15/2020 12:59 PM 1250343 66252TX008000101.pdf
10/15/2020 12:59 PM 1256513 66252TX008000102.pdf
10/15/2020 12:59 PM 1315174 66252TX008000103.pdf
10/15/2020 12:59 PM 1250343 66252TX008000200.pdf
10/15/2020 12:59 PM 1250343 66252TX008000201.pdf
10/15/2020 12:59 PM 1256513 66252TX008000202.pdf
10/15/2020 12:59 PM 1315174 66252TX008000203.pdf
10/15/2020 12:59 PM 1250343 66252TX008000300.pdf
10/15/2020 12:59 PM 1250343 66252TX008000301.pdf
10/15/2020 12:59 PM 1256513 66252TX008000302.pdf
10/15/2020 12:59 PM 1315174 66252TX008000303.pdf
10/15/2020 12:59 PM 1250343 66252TX008000400.pdf
10/15/2020 12:59 PM 1250343 66252TX008000401.pdf
10/15/2020 12:59 PM 1256513 66252TX008000402.pdf
10/15/2020 12:59 PM 1315174 66252TX008000403.pdf
10/15/2020 12:59 PM 1250343 66252TX008000600.pdf
10/15/2020 12:59 PM 1250343 66252TX008000601.pdf
10/15/2020 12:59 PM 1256513 66252TX008000602.pdf
10/15/2020 12:59 PM 1315174 66252TX008000603.pdf
10/15/2020 12:59 PM 1250343 66252TX008000700.pdf
10/15/2020 12:59 PM 1250343 66252TX008000701.pdf
10/15/2020 12:59 PM 1256513 66252TX008000702.pdf
10/15/2020 12:59 PM 1315174 66252TX008000703.pdf
10/15/2020 12:59 PM 1250343 66252TX008000800.pdf
10/15/2020 12:59 PM 1250343 66252TX008000801.pdf
10/15/2020 12:59 PM 1256513 66252TX008000802.pdf
10/15/2020 12:59 PM 1315174 66252TX008000803.pdf
10/15/2020 12:59 PM 1249842 66252TX014000100.pdf
10/15/2020 12:59 PM 1249842 66252TX014000101.pdf
10/15/2020 12:59 PM 1256797 66252TX014000102.pdf
10/15/2020 12:59 PM 1323299 66252TX014000103.pdf
10/15/2020 12:59 PM 1249842 66252TX014000200.pdf
10/15/2020 12:59 PM 1249842 66252TX014000201.pdf
10/15/2020 12:59 PM 1256797 66252TX014000202.pdf
10/15/2020 12:59 PM 1323299 66252TX014000203.pdf
10/15/2020 12:59 PM 1249842 66252TX014000300.pdf
10/15/2020 12:59 PM 1249842 66252TX014000301.pdf
10/15/2020 12:59 PM 1256797 66252TX014000302.pdf
10/15/2020 12:59 PM 1323299 66252TX014000303.pdf
10/15/2020 12:59 PM 1249842 66252TX014000400.pdf
10/15/2020 12:59 PM 1249842 66252TX014000401.pdf
10/15/2020 12:59 PM 1256797 66252TX014000402.pdf
10/15/2020 12:59 PM 1323299 66252TX014000403.pdf
10/15/2020 12:59 PM 1249842 66252TX014000600.pdf
10/15/2020 12:59 PM 1249842 66252TX014000601.pdf
10/15/2020 12:59 PM 1256797 66252TX014000602.pdf
10/15/2020 12:59 PM 1323299 66252TX014000603.pdf
10/15/2020 12:59 PM 1249842 66252TX014000700.pdf
10/15/2020 12:59 PM 1249842 66252TX014000701.pdf
10/15/2020 12:59 PM 1256797 66252TX014000702.pdf
10/15/2020 12:59 PM 1323299 66252TX014000703.pdf
10/15/2020 12:59 PM 1249842 66252TX014000800.pdf
10/15/2020 12:59 PM 1249842 66252TX014000801.pdf
10/15/2020 12:59 PM 1256797 66252TX014000802.pdf
10/15/2020 12:59 PM 1323299 66252TX014000803.pdf
10/15/2020 12:59 PM 1257604 66252TX015000100.pdf
10/15/2020 12:59 PM 1257604 66252TX015000101.pdf
10/15/2020 12:59 PM 1256797 66252TX015000102.pdf
10/15/2020 12:59 PM 1329545 66252TX015000103.pdf
10/15/2020 12:59 PM 1261695 66252TX015000104.pdf
10/15/2020 12:59 PM 1259040 66252TX015000105.pdf
10/15/2020 12:59 PM 593048 66252TX015000106.pdf
10/15/2020 12:59 PM 1257604 66252TX015000200.pdf
10/15/2020 12:59 PM 1257604 66252TX015000201.pdf
10/15/2020 12:59 PM 1256797 66252TX015000202.pdf
10/15/2020 12:59 PM 1329545 66252TX015000203.pdf
10/15/2020 12:59 PM 1261695 66252TX015000204.pdf
10/15/2020 12:59 PM 1259040 66252TX015000205.pdf
10/15/2020 12:59 PM 593048 66252TX015000206.pdf
10/15/2020 12:59 PM 1257604 66252TX015000300.pdf
10/15/2020 12:59 PM 1257604 66252TX015000301.pdf
10/15/2020 12:59 PM 1256797 66252TX015000302.pdf
10/15/2020 12:59 PM 1329545 66252TX015000303.pdf
10/15/2020 12:59 PM 1261695 66252TX015000304.pdf
10/15/2020 12:59 PM 1259040 66252TX015000305.pdf
10/15/2020 12:59 PM 593048 66252TX015000306.pdf
10/15/2020 12:59 PM 1257604 66252TX015000400.pdf
10/15/2020 12:59 PM 1257604 66252TX015000401.pdf
10/15/2020 12:59 PM 1256797 66252TX015000402.pdf
10/15/2020 12:59 PM 1329545 66252TX015000403.pdf
10/15/2020 12:59 PM 1261695 66252TX015000404.pdf
10/15/2020 12:59 PM 1259040 66252TX015000405.pdf
10/15/2020 12:59 PM 593048 66252TX015000406.pdf
10/15/2020 12:59 PM 1257604 66252TX015000600.pdf
10/15/2020 12:59 PM 1257604 66252TX015000601.pdf
10/15/2020 12:59 PM 1256797 66252TX015000602.pdf
10/15/2020 12:59 PM 1329545 66252TX015000603.pdf
10/15/2020 12:59 PM 1261695 66252TX015000604.pdf
10/15/2020 12:59 PM 1259040 66252TX015000605.pdf
10/15/2020 12:59 PM 593048 66252TX015000606.pdf
10/15/2020 12:59 PM 1257604 66252TX015000700.pdf
10/15/2020 12:59 PM 1257604 66252TX015000701.pdf
10/15/2020 12:59 PM 1256797 66252TX015000702.pdf
10/15/2020 12:59 PM 1329545 66252TX015000703.pdf
10/15/2020 12:59 PM 1261695 66252TX015000704.pdf
10/15/2020 12:59 PM 1259040 66252TX015000705.pdf
10/15/2020 12:59 PM 593048 66252TX015000706.pdf
10/15/2020 12:59 PM 1257604 66252TX015000800.pdf
10/15/2020 12:59 PM 1257604 66252TX015000801.pdf
10/15/2020 12:59 PM 1256797 66252TX015000802.pdf
10/15/2020 12:59 PM 1329545 66252TX015000803.pdf
10/15/2020 12:59 PM 1261695 66252TX015000804.pdf
10/15/2020 12:59 PM 1259040 66252TX015000805.pdf
10/15/2020 12:59 PM 593048 66252TX015000806.pdf
10/15/2020 12:59 PM 1253271 66252TX016000200.pdf
10/15/2020 12:59 PM 1253271 66252TX016000201.pdf
10/15/2020 12:59 PM 1256513 66252TX016000202.pdf
10/15/2020 12:59 PM 1316992 66252TX016000203.pdf
10/15/2020 12:59 PM 1253630 66252TX016000204.pdf
10/15/2020 12:59 PM 1254326 66252TX016000205.pdf
10/15/2020 12:59 PM 587931 66252TX016000206.pdf
10/15/2020 12:59 PM 1253271 66252TX016000300.pdf
10/15/2020 12:59 PM 1253271 66252TX016000301.pdf
10/15/2020 12:59 PM 1256513 66252TX016000302.pdf
10/15/2020 12:59 PM 1316992 66252TX016000303.pdf
10/15/2020 12:59 PM 1253630 66252TX016000304.pdf
10/15/2020 12:59 PM 1254326 66252TX016000305.pdf
10/15/2020 12:59 PM 587931 66252TX016000306.pdf
10/15/2020 12:59 PM 1253271 66252TX016000400.pdf
10/15/2020 12:59 PM 1253271 66252TX016000401.pdf
10/15/2020 12:59 PM 1256513 66252TX016000402.pdf
10/15/2020 12:59 PM 1316992 66252TX016000403.pdf
10/15/2020 12:59 PM 1253630 66252TX016000404.pdf
10/15/2020 12:59 PM 1254326 66252TX016000405.pdf
10/15/2020 12:59 PM 587931 66252TX016000406.pdf
10/15/2020 12:59 PM 1253271 66252TX016000600.pdf
10/15/2020 12:59 PM 1253271 66252TX016000601.pdf
10/15/2020 12:59 PM 1256513 66252TX016000602.pdf
10/15/2020 12:59 PM 1316992 66252TX016000603.pdf
10/15/2020 12:59 PM 1253630 66252TX016000604.pdf
10/15/2020 12:59 PM 1254326 66252TX016000605.pdf
10/15/2020 12:59 PM 587931 66252TX016000606.pdf
10/15/2020 12:59 PM 1253271 66252TX016000700.pdf
10/15/2020 12:59 PM 1253271 66252TX016000701.pdf
10/15/2020 12:59 PM 1256513 66252TX016000702.pdf
10/15/2020 12:59 PM 1316992 66252TX016000703.pdf
10/15/2020 12:59 PM 1253630 66252TX016000704.pdf
10/15/2020 12:59 PM 1254326 66252TX016000705.pdf
10/15/2020 12:59 PM 587931 66252TX016000706.pdf
10/15/2020 12:59 PM 1253271 66252TX016000800.pdf
10/15/2020 12:59 PM 1253271 66252TX016000801.pdf
10/15/2020 12:59 PM 1256513 66252TX016000802.pdf
10/15/2020 12:59 PM 1316992 66252TX016000803.pdf
10/15/2020 12:59 PM 1253630 66252TX016000804.pdf
10/15/2020 12:59 PM 1254326 66252TX016000805.pdf
10/15/2020 12:59 PM 587931 66252TX016000806.pdf
11/3/2020 10:33 AM 1253663 66252TX024000100.pdf
11/3/2020 10:33 AM 1253663 66252TX024000200.pdf
11/3/2020 10:33 AM 1253663 66252TX024000300.pdf
11/3/2020 10:33 AM 1253663 66252TX024000400.pdf
11/3/2020 10:33 AM 1253663 66252TX024000600.pdf
11/3/2020 10:33 AM 1253663 66252TX024000700.pdf
11/3/2020 10:33 AM 1253663 66252TX024000800.pdf
10/13/2020 12:14 PM 1255767 98780_American_Indian_Zero.pdf
10/13/2020 12:14 PM 1204251 98780_American_Indian_Zero_Plus.pdf
10/13/2020 12:14 PM 1287846 98780_Bronze.pdf
10/13/2020 12:14 PM 1282152 98780_Bronze_HSA.pdf
10/13/2020 12:14 PM 1289885 98780_Bronze_HSA_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1296018 98780_Bronze_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1209274 98780_Bronze_Plus.pdf
10/13/2020 12:14 PM 1223738 98780_Bronze_Plus_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1290043 98780_Gold.pdf
10/13/2020 12:14 PM 1297951 98780_Gold_Limited_Cost_Sharing.pdf
9/10/2020 7:28 AM 1285403 98780_SBC_LA Basic Silver 73.pdf
9/10/2020 7:28 AM 1285958 98780_SBC_LA Basic Silver 87.pdf
9/10/2020 7:28 AM 1209851 98780_SBC_LA Basic Silver 94.pdf
9/10/2020 7:28 AM 1291921 98780_SBC_LA Basic Silver Limited IHCP.pdf
9/10/2020 7:28 AM 1284872 98780_SBC_LA Basic Silver.pdf
9/10/2020 7:28 AM 1289885 98780_SBC_LA Bronze HSA Limited IHCP.pdf
9/10/2020 7:28 AM 1282152 98780_SBC_LA Bronze HSA.pdf
9/10/2020 7:28 AM 1296018 98780_SBC_LA Bronze Limited IHCP.pdf
9/10/2020 7:28 AM 1223738 98780_SBC_LA Bronze Plus Limited IHCP.pdf
9/10/2020 7:28 AM 1209274 98780_SBC_LA Bronze Plus.pdf
9/10/2020 7:28 AM 1287846 98780_SBC_LA Bronze.pdf
9/10/2020 7:28 AM 1297951 98780_SBC_LA Gold Limited IHCP.pdf
9/10/2020 7:28 AM 1290043 98780_SBC_LA Gold.pdf
9/10/2020 7:28 AM 1204251 98780_SBC_LA Ind American Indian Zero Cost Sharing Plus.pdf
9/10/2020 7:28 AM 1255767 98780_SBC_LA Ind American Indian Zero Cost Sharing.pdf
9/10/2020 7:28 AM 1291787 98780_SBC_LA Silver HD 73.pdf
9/10/2020 7:28 AM 1292654 98780_SBC_LA Silver HD 87.pdf
9/10/2020 7:28 AM 1292865 98780_SBC_LA Silver HD 94.pdf
9/10/2020 7:28 AM 1299199 98780_SBC_LA Silver HD Limited IHCP.pdf
9/10/2020 7:28 AM 1290855 98780_SBC_LA Silver HD.pdf
9/10/2020 7:28 AM 1290322 98780_SBC_LA Silver LD 73.pdf
9/10/2020 7:28 AM 1291260 98780_SBC_LA Silver LD 87.pdf
9/10/2020 7:28 AM 1291441 98780_SBC_LA Silver LD 94.pdf
9/10/2020 7:28 AM 1297745 98780_SBC_LA Silver LD Limited IHCP.pdf
9/10/2020 7:28 AM 1289638 98780_SBC_LA Silver LD.pdf
9/10/2020 7:28 AM 1210529 98780_SBC_LA Silver Plus HD 73.pdf
9/10/2020 7:28 AM 1211224 98780_SBC_LA Silver Plus HD 87.pdf
9/10/2020 7:28 AM 1211426 98780_SBC_LA Silver Plus HD 94.pdf
9/10/2020 7:28 AM 1224270 98780_SBC_LA Silver Plus HD Limited IHCP.pdf
9/10/2020 7:28 AM 1210225 98780_SBC_LA Silver Plus HD.pdf
10/13/2020 12:14 PM 1284872 98780_Silver_Basic_HD.pdf
10/13/2020 12:14 PM 1285403 98780_Silver_Basic_HD_73.pdf
10/13/2020 12:14 PM 1285958 98780_Silver_Basic_HD_87.pdf
10/13/2020 12:14 PM 1209851 98780_Silver_Basic_HD_94.pdf
10/13/2020 12:14 PM 1291921 98780_Silver_Basic_HD_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1290855 98780_Silver_HD.pdf
10/13/2020 12:14 PM 1291787 98780_Silver_HD_73.pdf
10/13/2020 12:14 PM 1292654 98780_Silver_HD_87.pdf
10/13/2020 12:14 PM 1292865 98780_Silver_HD_94.pdf
10/13/2020 12:14 PM 1299199 98780_Silver_HD_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1289638 98780_Silver_LD.pdf
10/13/2020 12:14 PM 1290322 98780_Silver_LD_73.pdf
10/13/2020 12:14 PM 1291260 98780_Silver_LD_87.pdf
10/13/2020 12:14 PM 1291441 98780_Silver_LD_94.pdf
10/13/2020 12:14 PM 1297745 98780_Silver_LD_Limited_Cost_Sharing.pdf
10/13/2020 12:14 PM 1210225 98780_Silver_Plus_HD.pdf
10/13/2020 12:14 PM 1210529 98780_Silver_Plus_HD_73.pdf
10/13/2020 12:14 PM 1211224 98780_Silver_Plus_HD_87.pdf
10/13/2020 12:14 PM 1211426 98780_Silver_Plus_HD_94.pdf
10/13/2020 12:14 PM 1224270 98780_Silver_Plus_HD_Limited_Cost_Sharing.pdf
9/10/2020 7:28 AM 1290855 98780LA001000100.pdf
9/10/2020 7:28 AM 1290855 98780LA001000101.pdf
9/10/2020 7:28 AM 1255767 98780LA001000102.pdf
9/10/2020 7:28 AM 1299199 98780LA001000103.pdf
9/10/2020 7:28 AM 1291787 98780LA001000104.pdf
9/10/2020 7:28 AM 1292654 98780LA001000105.pdf
9/10/2020 7:28 AM 1292865 98780LA001000106.pdf
9/10/2020 7:28 AM 1290855 98780LA001000200.pdf
9/10/2020 7:28 AM 1290855 98780LA001000201.pdf
9/10/2020 7:28 AM 1255767 98780LA001000202.pdf
9/10/2020 7:28 AM 1299199 98780LA001000203.pdf
9/10/2020 7:28 AM 1291787 98780LA001000204.pdf
9/10/2020 7:28 AM 1292654 98780LA001000205.pdf
9/10/2020 7:28 AM 1292865 98780LA001000206.pdf
9/10/2020 7:28 AM 1290855 98780LA001000300.pdf
9/10/2020 7:28 AM 1290855 98780LA001000301.pdf
9/10/2020 7:28 AM 1255767 98780LA001000302.pdf
9/10/2020 7:28 AM 1299199 98780LA001000303.pdf
9/10/2020 7:28 AM 1291787 98780LA001000304.pdf
9/10/2020 7:28 AM 1292654 98780LA001000305.pdf
9/10/2020 7:28 AM 1292865 98780LA001000306.pdf
9/10/2020 7:28 AM 1289638 98780LA002000100.pdf
9/10/2020 7:28 AM 1289638 98780LA002000101.pdf
9/10/2020 7:28 AM 1255767 98780LA002000102.pdf
9/10/2020 7:28 AM 1297745 98780LA002000103.pdf
9/10/2020 7:28 AM 1290322 98780LA002000104.pdf
9/10/2020 7:28 AM 1291260 98780LA002000105.pdf
9/10/2020 7:28 AM 1291441 98780LA002000106.pdf
9/10/2020 7:28 AM 1289638 98780LA002000200.pdf
9/10/2020 7:28 AM 1289638 98780LA002000201.pdf
9/10/2020 7:28 AM 1255767 98780LA002000202.pdf
9/10/2020 7:28 AM 1297745 98780LA002000203.pdf
9/10/2020 7:28 AM 1290322 98780LA002000204.pdf
9/10/2020 7:28 AM 1291260 98780LA002000205.pdf
9/10/2020 7:28 AM 1291441 98780LA002000206.pdf
9/10/2020 7:28 AM 1289638 98780LA002000300.pdf
9/10/2020 7:28 AM 1289638 98780LA002000301.pdf
9/10/2020 7:28 AM 1255767 98780LA002000302.pdf
9/10/2020 7:28 AM 1297745 98780LA002000303.pdf
9/10/2020 7:28 AM 1290322 98780LA002000304.pdf
9/10/2020 7:28 AM 1291260 98780LA002000305.pdf
9/10/2020 7:28 AM 1291441 98780LA002000306.pdf
9/10/2020 7:28 AM 1290043 98780LA003000100.pdf
9/10/2020 7:28 AM 1290043 98780LA003000101.pdf
9/10/2020 7:28 AM 1255767 98780LA003000102.pdf
9/10/2020 7:28 AM 1297951 98780LA003000103.pdf
9/10/2020 7:28 AM 1290043 98780LA003000200.pdf
9/10/2020 7:28 AM 1290043 98780LA003000201.pdf
9/10/2020 7:28 AM 1255767 98780LA003000202.pdf
9/10/2020 7:28 AM 1297951 98780LA003000203.pdf
9/10/2020 7:28 AM 1290043 98780LA003000300.pdf
9/10/2020 7:28 AM 1290043 98780LA003000301.pdf
9/10/2020 7:28 AM 1255767 98780LA003000302.pdf
9/10/2020 7:28 AM 1297951 98780LA003000303.pdf
9/10/2020 7:28 AM 1287846 98780LA004000100.pdf
9/10/2020 7:28 AM 1287846 98780LA004000101.pdf
9/10/2020 7:28 AM 1255767 98780LA004000102.pdf
9/10/2020 7:28 AM 1296018 98780LA004000103.pdf
9/10/2020 7:28 AM 1287846 98780LA004000200.pdf
9/10/2020 7:28 AM 1287846 98780LA004000201.pdf
9/10/2020 7:28 AM 1255767 98780LA004000202.pdf
9/10/2020 7:28 AM 1296018 98780LA004000203.pdf
9/10/2020 7:28 AM 1287846 98780LA004000300.pdf
9/10/2020 7:28 AM 1287846 98780LA004000301.pdf
9/10/2020 7:28 AM 1255767 98780LA004000302.pdf
9/10/2020 7:28 AM 1296018 98780LA004000303.pdf
9/10/2020 7:28 AM 1282152 98780LA005000100.pdf
9/10/2020 7:28 AM 1282152 98780LA005000101.pdf
9/10/2020 7:28 AM 1255767 98780LA005000102.pdf
9/10/2020 7:28 AM 1289885 98780LA005000103.pdf
9/10/2020 7:28 AM 1282152 98780LA005000200.pdf
9/10/2020 7:28 AM 1282152 98780LA005000201.pdf
9/10/2020 7:28 AM 1255767 98780LA005000202.pdf
9/10/2020 7:28 AM 1289885 98780LA005000203.pdf
9/10/2020 7:28 AM 1282152 98780LA005000300.pdf
9/10/2020 7:28 AM 1282152 98780LA005000301.pdf
9/10/2020 7:28 AM 1255767 98780LA005000302.pdf
9/10/2020 7:28 AM 1289885 98780LA005000303.pdf
9/10/2020 7:28 AM 1209274 98780LA006000100.pdf
9/10/2020 7:28 AM 1209274 98780LA006000101.pdf
9/10/2020 7:28 AM 1204251 98780LA006000102.pdf
9/10/2020 7:28 AM 1223738 98780LA006000103.pdf
9/10/2020 7:28 AM 1209274 98780LA006000200.pdf
9/10/2020 7:28 AM 1209274 98780LA006000201.pdf
9/10/2020 7:28 AM 1204251 98780LA006000202.pdf
9/10/2020 7:28 AM 1223738 98780LA006000203.pdf
9/10/2020 7:28 AM 1209274 98780LA006000300.pdf
9/10/2020 7:28 AM 1209274 98780LA006000301.pdf
9/10/2020 7:28 AM 1204251 98780LA006000302.pdf
9/10/2020 7:28 AM 1223738 98780LA006000303.pdf
9/10/2020 7:28 AM 1210225 98780LA007000100.pdf
9/10/2020 7:28 AM 1210225 98780LA007000101.pdf
9/10/2020 7:28 AM 1204251 98780LA007000102.pdf
9/10/2020 7:28 AM 1224270 98780LA007000103.pdf
9/10/2020 7:28 AM 1210529 98780LA007000104.pdf
9/10/2020 7:28 AM 1211224 98780LA007000105.pdf
9/10/2020 7:28 AM 1211426 98780LA007000106.pdf
9/10/2020 7:28 AM 1210225 98780LA007000200.pdf
9/10/2020 7:28 AM 1210225 98780LA007000201.pdf
9/10/2020 7:28 AM 1204251 98780LA007000202.pdf
9/10/2020 7:28 AM 1224270 98780LA007000203.pdf
9/10/2020 7:28 AM 1210529 98780LA007000204.pdf
9/10/2020 7:28 AM 1211224 98780LA007000205.pdf
9/10/2020 7:28 AM 1211426 98780LA007000206.pdf
9/10/2020 7:28 AM 1210225 98780LA007000300.pdf
9/10/2020 7:28 AM 1210225 98780LA007000301.pdf
9/10/2020 7:28 AM 1204251 98780LA007000302.pdf
9/10/2020 7:28 AM 1224270 98780LA007000303.pdf
9/10/2020 7:28 AM 1210529 98780LA007000304.pdf
9/10/2020 7:28 AM 1211224 98780LA007000305.pdf
9/10/2020 7:28 AM 1211426 98780LA007000306.pdf
9/10/2020 7:28 AM 1284872 98780LA008000300.pdf
9/10/2020 7:28 AM 1284872 98780LA008000301.pdf
9/10/2020 7:28 AM 1255767 98780LA008000302.pdf
9/10/2020 7:28 AM 1291921 98780LA008000303.pdf
9/10/2020 7:28 AM 1285403 98780LA008000304.pdf
9/10/2020 7:28 AM 1285958 98780LA008000305.pdf
9/10/2020 7:28 AM 1209851 98780LA008000306.pdf
7/1/2022 1:51 PM <dir> Atex
7/1/2022 1:34 PM <dir> New folder
1/6/2022 11:18 AM <dir> SBC