chppayment.christushealth.org - /documents/2022/SBC/
[To Parent Directory]
12/2/2021 9:43 AM <dir> 2021
11/29/2021 2:34 PM 1333911 66252_American_Indian_Zero.pdf
11/29/2021 12:44 PM 1787308 66252_American_Indian_Zero_Plus.pdf
11/29/2021 3:16 PM 1594104 66252_Bronze.pdf
11/29/2021 3:22 PM 608747 66252_Bronze_Basic.pdf
11/15/2021 5:21 PM 1084788 66252_Bronze_Basic_Limited_Cost_Sharing.pdf
9/21/2021 10:20 AM 1584878 66252_Bronze_HSA.pdf
9/21/2021 10:20 AM 1685473 66252_Bronze_HSA_Limited_Cost_Sharing.pdf
9/21/2021 10:20 AM 1667300 66252_Bronze_Limited_Cost_Sharing.pdf
9/21/2021 10:20 AM 1613623 66252_Bronze_Plus.pdf
9/21/2021 10:20 AM 1667738 66252_Bronze_Plus_Limited_Cost_Sharing.pdf
9/21/2021 10:20 AM 1578889 66252_Catastrophic.pdf
9/21/2021 10:20 AM 1159946 66252_Gold.pdf
9/21/2021 10:20 AM 1497844 66252_Gold_Limited_Cost_Sharing.pdf
9/21/2021 10:21 AM 1612464 66252_Gold_Plus.pdf
11/15/2021 5:21 PM 1497844 66252_Gold_Plus_Limited_Cost_Sharing.pdf
9/21/2021 10:21 AM 1214064 66252_Platinum.pdf
9/21/2021 10:21 AM 1600447 66252_Silver_Basic_HD.pdf
9/21/2021 10:21 AM 1672716 66252_Silver_Basic_HD_73.pdf
9/21/2021 10:21 AM 1605060 66252_Silver_Basic_HD_87.pdf
9/21/2021 10:21 AM 1602647 66252_Silver_Basic_HD_94.pdf
9/21/2021 10:21 AM 1713960 66252_Silver_Basic_HD_Limited_Cost_Sharing.pdf
9/21/2021 10:21 AM 1648440 66252_Silver_HD.pdf
9/21/2021 10:21 AM 1611086 66252_Silver_HD_73.pdf
9/21/2021 10:21 AM 1636673 66252_Silver_HD_87.pdf
9/21/2021 10:21 AM 1629988 66252_Silver_HD_94.pdf
9/21/2021 10:19 AM 1767295 66252_Silver_HD_Limited_Cost_Sharing.pdf
11/29/2021 3:05 PM 553279 66252_Silver_LD.pdf
11/29/2021 3:05 PM 555878 66252_Silver_LD_73.pdf
11/29/2021 3:05 PM 556059 66252_Silver_LD_87.pdf
11/29/2021 3:05 PM 548719 66252_Silver_LD_94.pdf
11/29/2021 3:05 PM 587301 66252_Silver_LD_Limited_Cost_Sharing.pdf
9/21/2021 10:19 AM 1644179 66252_Silver_Plus_HD.pdf
9/21/2021 10:19 AM 1637098 66252_Silver_Plus_HD_73.pdf
9/21/2021 10:19 AM 1633755 66252_Silver_Plus_HD_87.pdf
9/21/2021 10:20 AM 1653913 66252_Silver_Plus_HD_94.pdf
9/21/2021 10:20 AM 2883326 66252_Silver_Plus_HD_Limited_Cost_Sharing.pdf
11/30/2021 12:03 PM 1578889 66252TX001000100.pdf
11/30/2021 12:04 PM 1578889 66252TX001000101.pdf
11/30/2021 12:04 PM 1578889 66252TX001000200.pdf
11/30/2021 12:04 PM 1578889 66252TX001000201.pdf
11/30/2021 12:04 PM 1578889 66252TX001000300.pdf
11/30/2021 12:04 PM 1578889 66252TX001000301.pdf
11/30/2021 12:05 PM 1578889 66252TX001000400.pdf
11/30/2021 12:05 PM 1578889 66252TX001000401.pdf
11/30/2021 12:05 PM 1578889 66252TX001000600.pdf
11/30/2021 12:05 PM 1578889 66252TX001000601.pdf
11/30/2021 12:05 PM 1578889 66252TX001000700.pdf
11/30/2021 12:05 PM 1578889 66252TX001000701.pdf
11/30/2021 12:06 PM 1578889 66252TX001000800.pdf
11/30/2021 12:06 PM 1578889 66252TX001000801.pdf
11/30/2021 12:06 PM 1578889 66252TX001000900.pdf
11/30/2021 12:06 PM 1578889 66252TX001000901.pdf
11/30/2021 11:12 AM 1594104 66252TX003000100.pdf
11/30/2021 11:12 AM 1594104 66252TX003000101.pdf
11/30/2021 10:49 AM 1333911 66252TX003000102.pdf
11/30/2021 11:49 AM 1667300 66252TX003000103.pdf
11/30/2021 11:13 AM 1594104 66252TX003000200.pdf
11/30/2021 11:13 AM 1594104 66252TX003000201.pdf
11/30/2021 10:50 AM 1333911 66252TX003000202.pdf
11/30/2021 11:50 AM 1667300 66252TX003000203.pdf
11/30/2021 11:13 AM 1594104 66252TX003000300.pdf
11/30/2021 11:14 AM 1594104 66252TX003000301.pdf
11/30/2021 10:51 AM 1333911 66252TX003000302.pdf
11/30/2021 11:50 AM 1667300 66252TX003000303.pdf
11/30/2021 11:14 AM 1594104 66252TX003000400.pdf
11/30/2021 11:14 AM 1594104 66252TX003000401.pdf
11/30/2021 10:51 AM 1333911 66252TX003000402.pdf
11/30/2021 11:50 AM 1667300 66252TX003000403.pdf
11/30/2021 11:14 AM 1594104 66252TX003000600.pdf
11/30/2021 11:15 AM 1594104 66252TX003000601.pdf
11/30/2021 10:52 AM 1333911 66252TX003000602.pdf
11/30/2021 11:51 AM 1667300 66252TX003000603.pdf
11/30/2021 11:15 AM 1594104 66252TX003000700.pdf
11/30/2021 11:15 AM 1594104 66252TX003000701.pdf
11/30/2021 10:52 AM 1333911 66252TX003000702.pdf
11/30/2021 11:51 AM 1667300 66252TX003000703.pdf
11/30/2021 11:15 AM 1594104 66252TX003000800.pdf
11/30/2021 11:15 AM 1594104 66252TX003000801.pdf
11/30/2021 10:52 AM 1333911 66252TX003000802.pdf
11/30/2021 11:51 AM 1667300 66252TX003000803.pdf
11/30/2021 11:15 AM 1594104 66252TX003000900.pdf
11/30/2021 11:16 AM 1594104 66252TX003000901.pdf
11/30/2021 10:52 AM 1333911 66252TX003000902.pdf
11/30/2021 11:51 AM 1667300 66252TX003000903.pdf
11/30/2021 3:28 PM 1648440 66252TX004000100.pdf
11/30/2021 3:29 PM 1648440 66252TX004000101.pdf
11/30/2021 10:52 AM 1333911 66252TX004000102.pdf
11/30/2021 5:53 PM 1767295 66252TX004000103.pdf
11/30/2021 3:36 PM 1611086 66252TX004000104.pdf
11/30/2021 3:38 PM 1636673 66252TX004000105.pdf
11/30/2021 5:47 PM 1629988 66252TX004000106.pdf
11/30/2021 3:29 PM 1648440 66252TX004000200.pdf
11/30/2021 3:30 PM 1648440 66252TX004000201.pdf
11/30/2021 10:53 AM 1333911 66252TX004000202.pdf
11/30/2021 5:54 PM 1767295 66252TX004000203.pdf
11/30/2021 3:37 PM 1611086 66252TX004000204.pdf
11/30/2021 3:39 PM 1636673 66252TX004000205.pdf
11/30/2021 5:49 PM 1629988 66252TX004000206.pdf
11/30/2021 3:30 PM 1648440 66252TX004000300.pdf
11/30/2021 3:30 PM 1648440 66252TX004000301.pdf
11/30/2021 10:53 AM 1333911 66252TX004000302.pdf
11/30/2021 5:54 PM 1767295 66252TX004000303.pdf
11/30/2021 3:37 PM 1611086 66252TX004000304.pdf
11/30/2021 3:39 PM 1636673 66252TX004000305.pdf
11/30/2021 5:49 PM 1629988 66252TX004000306.pdf
11/30/2021 3:30 PM 1648440 66252TX004000400.pdf
11/30/2021 3:30 PM 1648440 66252TX004000401.pdf
11/30/2021 10:53 AM 1333911 66252TX004000402.pdf
11/30/2021 5:54 PM 1767295 66252TX004000403.pdf
11/30/2021 3:37 PM 1611086 66252TX004000404.pdf
11/30/2021 3:40 PM 1636673 66252TX004000405.pdf
11/30/2021 5:50 PM 1629988 66252TX004000406.pdf
11/30/2021 3:31 PM 1648440 66252TX004000600.pdf
11/30/2021 3:34 PM 1648440 66252TX004000601.pdf
11/30/2021 10:53 AM 1333911 66252TX004000602.pdf
11/30/2021 5:55 PM 1767295 66252TX004000603.pdf
11/30/2021 3:37 PM 1611086 66252TX004000604.pdf
11/30/2021 3:40 PM 1636673 66252TX004000605.pdf
11/30/2021 5:50 PM 1629988 66252TX004000606.pdf
11/30/2021 3:34 PM 1648440 66252TX004000700.pdf
11/30/2021 3:34 PM 1648440 66252TX004000701.pdf
11/30/2021 10:54 AM 1333911 66252TX004000702.pdf
11/30/2021 5:55 PM 1767295 66252TX004000703.pdf
11/30/2021 3:37 PM 1611086 66252TX004000704.pdf
11/30/2021 3:40 PM 1636673 66252TX004000705.pdf
11/30/2021 5:50 PM 1629988 66252TX004000706.pdf
11/30/2021 3:34 PM 1648440 66252TX004000800.pdf
11/30/2021 3:35 PM 1648440 66252TX004000801.pdf
11/30/2021 10:54 AM 1333911 66252TX004000802.pdf
11/30/2021 5:55 PM 1767295 66252TX004000803.pdf
11/30/2021 3:37 PM 1611086 66252TX004000804.pdf
11/30/2021 3:40 PM 1636673 66252TX004000805.pdf
11/30/2021 5:50 PM 1629988 66252TX004000806.pdf
11/30/2021 3:35 PM 1648440 66252TX004000900.pdf
11/30/2021 3:35 PM 1648440 66252TX004000901.pdf
11/30/2021 10:54 AM 1333911 66252TX004000902.pdf
11/30/2021 5:56 PM 1767295 66252TX004000903.pdf
11/30/2021 3:38 PM 1611086 66252TX004000904.pdf
11/30/2021 3:40 PM 1636673 66252TX004000905.pdf
11/30/2021 5:51 PM 1629988 66252TX004000906.pdf
11/30/2021 5:57 PM 553279 66252TX005000100.pdf
11/30/2021 5:58 PM 553279 66252TX005000101.pdf
11/30/2021 10:54 AM 1333911 66252TX005000102.pdf
11/30/2021 6:24 PM 587301 66252TX005000103.pdf
11/30/2021 6:04 PM 555878 66252TX005000104.pdf
11/30/2021 6:13 PM 556059 66252TX005000105.pdf
11/30/2021 6:18 PM 548719 66252TX005000106.pdf
11/30/2021 5:59 PM 553279 66252TX005000200.pdf
11/30/2021 5:59 PM 553279 66252TX005000201.pdf
11/30/2021 10:54 AM 1333911 66252TX005000202.pdf
11/30/2021 6:25 PM 587301 66252TX005000203.pdf
11/30/2021 6:05 PM 555878 66252TX005000204.pdf
11/30/2021 6:14 PM 556059 66252TX005000205.pdf
11/30/2021 6:20 PM 548719 66252TX005000206.pdf
11/30/2021 6:00 PM 553279 66252TX005000300.pdf
11/30/2021 6:00 PM 553279 66252TX005000301.pdf
11/30/2021 10:54 AM 1333911 66252TX005000302.pdf
11/30/2021 6:26 PM 587301 66252TX005000303.pdf
11/30/2021 6:06 PM 555878 66252TX005000304.pdf
11/30/2021 6:15 PM 556059 66252TX005000305.pdf
11/30/2021 6:21 PM 548719 66252TX005000306.pdf
11/30/2021 6:00 PM 553279 66252TX005000400.pdf
11/30/2021 6:00 PM 553279 66252TX005000401.pdf
11/30/2021 10:55 AM 1333911 66252TX005000402.pdf
11/30/2021 6:26 PM 587301 66252TX005000403.pdf
11/30/2021 6:06 PM 555878 66252TX005000404.pdf
11/30/2021 6:15 PM 556059 66252TX005000405.pdf
11/30/2021 6:21 PM 548719 66252TX005000406.pdf
11/30/2021 6:01 PM 553279 66252TX005000600.pdf
11/30/2021 6:01 PM 553279 66252TX005000601.pdf
11/30/2021 10:55 AM 1333911 66252TX005000602.pdf
11/30/2021 6:26 PM 587301 66252TX005000603.pdf
11/30/2021 6:07 PM 555878 66252TX005000604.pdf
11/30/2021 6:15 PM 556059 66252TX005000605.pdf
11/30/2021 6:21 PM 548719 66252TX005000606.pdf
11/30/2021 6:01 PM 553279 66252TX005000700.pdf
11/30/2021 6:01 PM 553279 66252TX005000701.pdf
11/30/2021 10:55 AM 1333911 66252TX005000702.pdf
11/30/2021 6:26 PM 587301 66252TX005000703.pdf
11/30/2021 6:07 PM 555878 66252TX005000704.pdf
11/30/2021 6:15 PM 556059 66252TX005000705.pdf
11/30/2021 6:22 PM 548719 66252TX005000706.pdf
11/30/2021 6:02 PM 553279 66252TX005000800.pdf
11/30/2021 6:02 PM 553279 66252TX005000801.pdf
11/30/2021 10:55 AM 1333911 66252TX005000802.pdf
11/30/2021 6:27 PM 587301 66252TX005000803.pdf
11/30/2021 6:07 PM 555878 66252TX005000804.pdf
11/30/2021 6:16 PM 556059 66252TX005000805.pdf
11/30/2021 6:22 PM 548719 66252TX005000806.pdf
11/30/2021 6:02 PM 553279 66252TX005000900.pdf
11/30/2021 6:03 PM 553279 66252TX005000901.pdf
11/30/2021 10:55 AM 1333911 66252TX005000902.pdf
11/30/2021 6:27 PM 587301 66252TX005000903.pdf
11/30/2021 6:08 PM 555878 66252TX005000904.pdf
11/30/2021 6:16 PM 556059 66252TX005000905.pdf
11/30/2021 6:22 PM 548719 66252TX005000906.pdf
11/30/2021 12:07 PM 1159946 66252TX007000100.pdf
11/30/2021 12:08 PM 1159946 66252TX007000101.pdf
11/30/2021 10:56 AM 1333911 66252TX007000102.pdf
11/30/2021 12:11 PM 1497844 66252TX007000103.pdf
11/30/2021 12:08 PM 1159946 66252TX007000200.pdf
11/30/2021 12:08 PM 1159946 66252TX007000201.pdf
11/30/2021 10:56 AM 1333911 66252TX007000202.pdf
11/30/2021 12:12 PM 1497844 66252TX007000203.pdf
11/30/2021 12:08 PM 1159946 66252TX007000300.pdf
11/30/2021 12:09 PM 1159946 66252TX007000301.pdf
11/30/2021 10:56 AM 1333911 66252TX007000302.pdf
11/30/2021 12:12 PM 1497844 66252TX007000303.pdf
11/30/2021 12:09 PM 1159946 66252TX007000400.pdf
11/30/2021 12:09 PM 1159946 66252TX007000401.pdf
11/30/2021 10:56 AM 1333911 66252TX007000402.pdf
11/30/2021 12:12 PM 1497844 66252TX007000403.pdf
11/30/2021 12:09 PM 1159946 66252TX007000600.pdf
11/30/2021 12:09 PM 1159946 66252TX007000601.pdf
11/30/2021 10:56 AM 1333911 66252TX007000602.pdf
11/30/2021 12:13 PM 1497844 66252TX007000603.pdf
11/30/2021 12:09 PM 1159946 66252TX007000700.pdf
11/30/2021 12:10 PM 1159946 66252TX007000701.pdf
11/30/2021 10:57 AM 1333911 66252TX007000702.pdf
11/30/2021 12:13 PM 1497844 66252TX007000703.pdf
11/30/2021 12:10 PM 1159946 66252TX007000800.pdf
11/30/2021 12:10 PM 1159946 66252TX007000801.pdf
11/30/2021 10:57 AM 1333911 66252TX007000802.pdf
11/30/2021 12:13 PM 1497844 66252TX007000803.pdf
11/30/2021 12:10 PM 1159946 66252TX007000900.pdf
11/30/2021 12:10 PM 1159946 66252TX007000901.pdf
11/30/2021 10:57 AM 1333911 66252TX007000902.pdf
11/30/2021 12:13 PM 1497844 66252TX007000903.pdf
11/30/2021 11:29 AM 1584878 66252TX008000100.pdf
11/30/2021 11:30 AM 1584878 66252TX008000101.pdf
11/30/2021 10:57 AM 1333911 66252TX008000102.pdf
11/30/2021 11:34 AM 1685473 66252TX008000103.pdf
11/30/2021 11:30 AM 1584878 66252TX008000200.pdf
11/30/2021 11:30 AM 1584878 66252TX008000201.pdf
11/30/2021 10:57 AM 1333911 66252TX008000202.pdf
11/30/2021 11:35 AM 1685473 66252TX008000203.pdf
11/30/2021 11:30 AM 1584878 66252TX008000300.pdf
11/30/2021 11:30 AM 1584878 66252TX008000301.pdf
11/30/2021 10:58 AM 1333911 66252TX008000302.pdf
11/30/2021 11:35 AM 1685473 66252TX008000303.pdf
11/30/2021 11:31 AM 1584878 66252TX008000400.pdf
11/30/2021 11:31 AM 1584878 66252TX008000401.pdf
11/30/2021 10:58 AM 1333911 66252TX008000402.pdf
11/30/2021 11:35 AM 1685473 66252TX008000403.pdf
11/30/2021 11:32 AM 1584878 66252TX008000600.pdf
11/30/2021 11:32 AM 1584878 66252TX008000601.pdf
11/30/2021 10:58 AM 1333911 66252TX008000602.pdf
11/30/2021 11:36 AM 1685473 66252TX008000603.pdf
11/30/2021 11:32 AM 1584878 66252TX008000700.pdf
11/30/2021 11:32 AM 1584878 66252TX008000701.pdf
11/30/2021 10:58 AM 1333911 66252TX008000702.pdf
11/30/2021 11:36 AM 1685473 66252TX008000703.pdf
11/30/2021 11:32 AM 1584878 66252TX008000800.pdf
11/30/2021 11:33 AM 1584878 66252TX008000801.pdf
11/30/2021 10:58 AM 1333911 66252TX008000802.pdf
11/30/2021 11:36 AM 1685473 66252TX008000803.pdf
11/30/2021 11:33 AM 1584878 66252TX008000900.pdf
11/30/2021 11:33 AM 1584878 66252TX008000901.pdf
11/30/2021 10:59 AM 1333911 66252TX008000902.pdf
11/30/2021 11:36 AM 1685473 66252TX008000903.pdf
11/30/2021 12:15 PM 1612464 66252TX013000100.pdf
11/30/2021 12:16 PM 1612464 66252TX013000101.pdf
11/30/2021 11:03 AM 1787308 66252TX013000102.pdf
11/30/2021 12:22 PM 1497844 66252TX013000103.pdf
11/30/2021 12:16 PM 1612464 66252TX013000200.pdf
11/30/2021 12:16 PM 1612464 66252TX013000201.pdf
11/30/2021 11:04 AM 1787308 66252TX013000202.pdf
11/30/2021 12:22 PM 1497844 66252TX013000203.pdf
11/30/2021 12:17 PM 1612464 66252TX013000300.pdf
11/30/2021 12:17 PM 1612464 66252TX013000301.pdf
11/30/2021 11:05 AM 1787308 66252TX013000302.pdf
11/30/2021 12:22 PM 1497844 66252TX013000303.pdf
11/30/2021 12:17 PM 1612464 66252TX013000400.pdf
11/30/2021 12:17 PM 1612464 66252TX013000401.pdf
11/30/2021 11:05 AM 1787308 66252TX013000402.pdf
11/30/2021 12:22 PM 1497844 66252TX013000403.pdf
11/30/2021 12:17 PM 1612464 66252TX013000600.pdf
11/30/2021 12:17 PM 1612464 66252TX013000601.pdf
11/30/2021 11:06 AM 1787308 66252TX013000602.pdf
11/30/2021 12:23 PM 1497844 66252TX013000603.pdf
11/30/2021 12:18 PM 1612464 66252TX013000700.pdf
11/30/2021 12:18 PM 1612464 66252TX013000701.pdf
11/30/2021 11:06 AM 1787308 66252TX013000702.pdf
11/30/2021 12:23 PM 1497844 66252TX013000703.pdf
11/30/2021 12:18 PM 1612464 66252TX013000800.pdf
11/30/2021 12:19 PM 1612464 66252TX013000801.pdf
11/30/2021 11:06 AM 1787308 66252TX013000802.pdf
11/30/2021 12:23 PM 1497844 66252TX013000803.pdf
11/30/2021 12:19 PM 1612464 66252TX013000900.pdf
11/30/2021 12:19 PM 1612464 66252TX013000901.pdf
11/30/2021 11:06 AM 1787308 66252TX013000902.pdf
11/30/2021 12:23 PM 1497844 66252TX013000903.pdf
11/30/2021 11:53 AM 1613623 66252TX014000100.pdf
11/30/2021 11:55 AM 1613623 66252TX014000101.pdf
11/30/2021 11:07 AM 1787308 66252TX014000102.pdf
11/30/2021 11:58 AM 1667738 66252TX014000103.pdf
11/30/2021 11:55 AM 1613623 66252TX014000200.pdf
11/30/2021 11:55 AM 1613623 66252TX014000201.pdf
11/30/2021 11:07 AM 1787308 66252TX014000202.pdf
11/30/2021 11:58 AM 1667738 66252TX014000203.pdf
11/30/2021 11:55 AM 1613623 66252TX014000300.pdf
11/30/2021 11:55 AM 1613623 66252TX014000301.pdf
11/30/2021 11:07 AM 1787308 66252TX014000302.pdf
11/30/2021 11:59 AM 1667738 66252TX014000303.pdf
11/30/2021 11:56 AM 1613623 66252TX014000400.pdf
11/30/2021 11:56 AM 1613623 66252TX014000401.pdf
11/30/2021 11:07 AM 1787308 66252TX014000402.pdf
11/30/2021 11:59 AM 1667738 66252TX014000403.pdf
11/30/2021 11:56 AM 1613623 66252TX014000600.pdf
11/30/2021 11:56 AM 1613623 66252TX014000601.pdf
11/30/2021 11:07 AM 1787308 66252TX014000602.pdf
11/30/2021 11:59 AM 1667738 66252TX014000603.pdf
11/30/2021 11:56 AM 1613623 66252TX014000700.pdf
11/30/2021 11:56 AM 1613623 66252TX014000701.pdf
11/30/2021 11:07 AM 1787308 66252TX014000702.pdf
11/30/2021 11:59 AM 1667738 66252TX014000703.pdf
11/30/2021 11:57 AM 1613623 66252TX014000800.pdf
11/30/2021 11:57 AM 1613623 66252TX014000801.pdf
11/30/2021 11:08 AM 1787308 66252TX014000802.pdf
11/30/2021 11:59 AM 1667738 66252TX014000803.pdf
11/30/2021 11:57 AM 1613623 66252TX014000900.pdf
11/30/2021 11:57 AM 1613623 66252TX014000901.pdf
11/30/2021 11:08 AM 1787308 66252TX014000902.pdf
11/30/2021 12:00 PM 1667738 66252TX014000903.pdf
11/30/2021 6:29 PM 1644179 66252TX015000100.pdf
11/30/2021 6:30 PM 1644179 66252TX015000101.pdf
11/30/2021 11:08 AM 1787308 66252TX015000102.pdf
11/30/2021 7:03 PM 2883326 66252TX015000103.pdf
11/30/2021 6:39 PM 1637098 66252TX015000104.pdf
11/30/2021 6:44 PM 1633755 66252TX015000105.pdf
11/30/2021 6:54 PM 1653913 66252TX015000106.pdf
11/30/2021 6:30 PM 1644179 66252TX015000200.pdf
11/30/2021 6:30 PM 1644179 66252TX015000201.pdf
11/30/2021 11:08 AM 1787308 66252TX015000202.pdf
11/30/2021 7:04 PM 2883326 66252TX015000203.pdf
11/30/2021 6:40 PM 1637098 66252TX015000204.pdf
11/30/2021 6:45 PM 1633755 66252TX015000205.pdf
11/30/2021 6:55 PM 1653913 66252TX015000206.pdf
11/30/2021 6:31 PM 1644179 66252TX015000300.pdf
11/30/2021 6:31 PM 1644179 66252TX015000301.pdf
11/30/2021 11:08 AM 1787308 66252TX015000302.pdf
11/30/2021 7:04 PM 0 66252TX015000303.pdf
11/30/2021 6:40 PM 1637098 66252TX015000304.pdf
11/30/2021 6:46 PM 1633755 66252TX015000305.pdf
11/30/2021 6:55 PM 1653913 66252TX015000306.pdf
11/30/2021 6:32 PM 1644179 66252TX015000400.pdf
11/30/2021 6:32 PM 1644179 66252TX015000401.pdf
11/30/2021 11:09 AM 1787308 66252TX015000402.pdf
11/30/2021 7:05 PM 2883326 66252TX015000403.pdf
11/30/2021 6:41 PM 1637098 66252TX015000404.pdf
11/30/2021 6:46 PM 1633755 66252TX015000405.pdf
11/30/2021 6:55 PM 1653913 66252TX015000406.pdf
11/30/2021 6:32 PM 1644179 66252TX015000600.pdf
11/30/2021 6:33 PM 1644179 66252TX015000601.pdf
11/30/2021 11:09 AM 1787308 66252TX015000602.pdf
11/30/2021 7:05 PM 0 66252TX015000603.pdf
11/30/2021 6:42 PM 1637098 66252TX015000604.pdf
11/30/2021 6:46 PM 1633755 66252TX015000605.pdf
11/30/2021 6:56 PM 1653913 66252TX015000606.pdf
11/30/2021 6:33 PM 1644179 66252TX015000700.pdf
11/30/2021 6:33 PM 1644179 66252TX015000701.pdf
11/30/2021 11:09 AM 1787308 66252TX015000702.pdf
11/30/2021 7:05 PM 2883326 66252TX015000703.pdf
11/30/2021 6:42 PM 1637098 66252TX015000704.pdf
11/30/2021 6:47 PM 1633755 66252TX015000705.pdf
11/30/2021 6:56 PM 1653913 66252TX015000706.pdf
11/30/2021 6:34 PM 1644179 66252TX015000800.pdf
11/30/2021 6:34 PM 1644179 66252TX015000801.pdf
11/30/2021 11:09 AM 1787308 66252TX015000802.pdf
11/30/2021 7:05 PM 0 66252TX015000803.pdf
11/30/2021 6:42 PM 1637098 66252TX015000804.pdf
11/30/2021 6:49 PM 1633755 66252TX015000805.pdf
11/30/2021 6:57 PM 1653913 66252TX015000806.pdf
11/30/2021 6:34 PM 1644179 66252TX015000900.pdf
11/30/2021 6:35 PM 1644179 66252TX015000901.pdf
11/30/2021 11:09 AM 1787308 66252TX015000902.pdf
11/30/2021 7:05 PM 2883326 66252TX015000903.pdf
11/30/2021 6:43 PM 1637098 66252TX015000904.pdf
11/30/2021 6:49 PM 1633755 66252TX015000905.pdf
11/30/2021 6:57 PM 1653913 66252TX015000906.pdf
11/30/2021 2:45 PM 1600447 66252TX016000100.pdf
11/30/2021 2:46 PM 1600447 66252TX016000101.pdf
11/30/2021 10:59 AM 1333911 66252TX016000102.pdf
11/30/2021 3:44 PM 1713960 66252TX016000103.pdf
11/30/2021 3:01 PM 1672716 66252TX016000104.pdf
11/30/2021 3:41 PM 1602647 66252TX016000106.pdf
11/30/2021 2:46 PM 1600447 66252TX016000200.pdf
11/30/2021 2:47 PM 1600447 66252TX016000201.pdf
11/30/2021 10:59 AM 1333911 66252TX016000202.pdf
11/30/2021 3:45 PM 1713960 66252TX016000203.pdf
11/30/2021 3:02 PM 1672716 66252TX016000204.pdf
11/30/2021 3:42 PM 1602647 66252TX016000206.pdf
11/30/2021 2:47 PM 1600447 66252TX016000300.pdf
11/30/2021 2:47 PM 1600447 66252TX016000301.pdf
11/30/2021 10:59 AM 1333911 66252TX016000302.pdf
11/30/2021 3:45 PM 1713960 66252TX016000303.pdf
11/30/2021 3:02 PM 1672716 66252TX016000304.pdf
11/30/2021 3:42 PM 1602647 66252TX016000306.pdf
11/30/2021 2:47 PM 1600447 66252TX016000400.pdf
11/30/2021 2:47 PM 1600447 66252TX016000401.pdf
11/30/2021 10:59 AM 1333911 66252TX016000402.pdf
11/30/2021 3:45 PM 1713960 66252TX016000403.pdf
11/30/2021 3:02 PM 1672716 66252TX016000404.pdf
11/30/2021 3:42 PM 1602647 66252TX016000406.pdf
11/30/2021 2:48 PM 1600447 66252TX016000600.pdf
11/30/2021 2:48 PM 1600447 66252TX016000601.pdf
11/30/2021 11:00 AM 1333911 66252TX016000602.pdf
11/30/2021 3:45 PM 1713960 66252TX016000603.pdf
11/30/2021 3:03 PM 1672716 66252TX016000604.pdf
11/30/2021 3:42 PM 1602647 66252TX016000606.pdf
11/30/2021 2:48 PM 1600447 66252TX016000700.pdf
11/30/2021 2:48 PM 1600447 66252TX016000701.pdf
11/30/2021 11:00 AM 1333911 66252TX016000702.pdf
11/30/2021 3:45 PM 1713960 66252TX016000703.pdf
11/30/2021 3:03 PM 1672716 66252TX016000704.pdf
11/30/2021 3:42 PM 1602647 66252TX016000706.pdf
11/30/2021 2:48 PM 1600447 66252TX016000800.pdf
11/30/2021 2:48 PM 1600447 66252TX016000801.pdf
11/30/2021 11:00 AM 1333911 66252TX016000802.pdf
11/30/2021 3:46 PM 1713960 66252TX016000803.pdf
11/30/2021 3:03 PM 1672716 66252TX016000804.pdf
11/30/2021 3:43 PM 1602647 66252TX016000806.pdf
11/30/2021 2:49 PM 1600447 66252TX016000900.pdf
11/30/2021 2:49 PM 1600447 66252TX016000901.pdf
11/30/2021 11:00 AM 1333911 66252TX016000902.pdf
11/30/2021 3:46 PM 1713960 66252TX016000903.pdf
11/30/2021 3:03 PM 1672716 66252TX016000904.pdf
11/30/2021 3:43 PM 1602647 66252TX016000906.pdf
11/30/2021 11:20 AM 608747 66252TX020000100.pdf
11/30/2021 11:21 AM 608747 66252TX020000101.pdf
11/30/2021 11:00 AM 1333911 66252TX020000102.pdf
11/30/2021 11:26 AM 1084788 66252TX020000103.pdf
11/30/2021 11:21 AM 608747 66252TX020000200.pdf
11/30/2021 11:22 AM 608747 66252TX020000201.pdf
11/30/2021 11:00 AM 1333911 66252TX020000202.pdf
11/30/2021 11:27 AM 1084788 66252TX020000203.pdf
11/30/2021 11:22 AM 608747 66252TX020000300.pdf
11/30/2021 11:22 AM 608747 66252TX020000301.pdf
11/30/2021 11:01 AM 1333911 66252TX020000302.pdf
11/30/2021 11:27 AM 1084788 66252TX020000303.pdf
11/30/2021 11:22 AM 608747 66252TX020000400.pdf
11/30/2021 11:22 AM 608747 66252TX020000401.pdf
11/30/2021 11:01 AM 1333911 66252TX020000402.pdf
11/30/2021 11:28 AM 1084788 66252TX020000403.pdf
11/30/2021 11:22 AM 608747 66252TX020000600.pdf
11/30/2021 11:23 AM 608747 66252TX020000601.pdf
11/30/2021 11:01 AM 1333911 66252TX020000602.pdf
11/30/2021 11:28 AM 1084788 66252TX020000603.pdf
11/30/2021 11:23 AM 608747 66252TX020000700.pdf
11/30/2021 11:23 AM 608747 66252TX020000701.pdf
11/30/2021 11:01 AM 1333911 66252TX020000702.pdf
11/30/2021 11:28 AM 1084788 66252TX020000703.pdf
11/30/2021 11:23 AM 608747 66252TX020000800.pdf
11/30/2021 11:23 AM 608747 66252TX020000801.pdf
11/30/2021 11:01 AM 1333911 66252TX020000802.pdf
11/30/2021 11:28 AM 1084788 66252TX020000803.pdf
11/30/2021 11:23 AM 608747 66252TX020000900.pdf
11/30/2021 11:23 AM 608747 66252TX020000901.pdf
11/30/2021 11:02 AM 1333911 66252TX020000902.pdf
11/30/2021 11:28 AM 1084788 66252TX020000903.pdf
9/21/2021 10:27 AM 1307204 98780_American_Indian_Zero.pdf
11/23/2021 8:36 AM 1307991 98780_American_Indian_Zero_Plus.pdf
9/21/2021 10:27 AM 1343294 98780_Bronze.pdf
9/21/2021 10:27 AM 1322861 98780_Bronze_Basic.pdf
9/7/2021 12:07 PM 1147634 98780_Bronze_Basic_Limited_Cost_Sharing.pdf
9/21/2021 10:27 AM 1336615 98780_Bronze_HSA.pdf
9/21/2021 10:27 AM 1368921 98780_Bronze_HSA_Limited_Cost_Sharing.pdf
9/21/2021 10:27 AM 1375595 98780_Bronze_Limited_Cost_Sharing.pdf
11/15/2021 5:21 PM 1322861 98780_Bronze_Limited_Cost_Sharing_Basic.pdf
9/21/2021 10:27 AM 1344085 98780_Bronze_Plus.pdf
9/21/2021 10:27 AM 1378509 98780_Bronze_Plus_Limited_Cost_Sharing.pdf
9/21/2021 10:27 AM 1346381 98780_Gold.pdf
9/21/2021 10:27 AM 1382936 98780_Gold_Limited_Cost_Sharing.pdf
11/15/2021 5:21 PM 1346927 98780_Gold_Limited_Cost_Sharing_Plus.pdf
9/21/2021 10:27 AM 1346927 98780_Gold_Plus.pdf
9/21/2021 10:27 AM 1307991 98780_SBC_LA Ind American Indian Zero Cost Sharing Plus.pdf
11/24/2021 2:30 PM 1339241 98780_Silver_Basic.pdf
11/24/2021 2:30 PM 1264304 98780_Silver_Basic_73.pdf
11/24/2021 2:30 PM 1340330 98780_Silver_Basic_87.pdf
11/24/2021 2:30 PM 1340507 98780_Silver_Basic_94.pdf
9/21/2021 10:27 AM 1339241 98780_Silver_Basic_HD.pdf
9/21/2021 10:28 AM 1264304 98780_Silver_Basic_HD_73.pdf
9/21/2021 10:28 AM 1340330 98780_Silver_Basic_HD_87.pdf
9/21/2021 10:28 AM 1340507 98780_Silver_Basic_HD_94.pdf
9/21/2021 10:28 AM 1375188 98780_Silver_Basic_HD_Limited_Cost_Sharing.pdf
11/24/2021 2:30 PM 1375188 98780_Silver_Basic_Limited_Cost_Sharing.pdf
1/28/2022 11:47 AM 1339241 98780_Silver_HD.pdf
1/28/2022 11:47 AM 1264304 98780_Silver_HD_73.pdf
1/28/2022 11:47 AM 1340330 98780_Silver_HD_87.pdf
1/28/2022 11:47 AM 1340507 98780_Silver_HD_94.pdf
1/28/2022 11:47 AM 1375188 98780_Silver_HD_Limited_Cost_Sharing.pdf
11/29/2021 3:05 PM 553188 98780_Silver_LD.pdf
11/29/2021 3:05 PM 553859 98780_Silver_LD_73.pdf
11/29/2021 3:05 PM 554155 98780_Silver_LD_87.pdf
11/29/2021 3:05 PM 550266 98780_Silver_LD_94.pdf
11/29/2021 3:05 PM 583709 98780_Silver_LD_Limited_Cost_Sharing.pdf
9/21/2021 10:28 AM 1347009 98780_Silver_Plus_HD.pdf
9/21/2021 10:28 AM 1346347 98780_Silver_Plus_HD_73.pdf
9/21/2021 10:28 AM 1347789 98780_Silver_Plus_HD_87.pdf
9/21/2021 10:29 AM 1348223 98780_Silver_Plus_HD_94.pdf
9/21/2021 10:27 AM 1306198 98780_Silver_Plus_HD_Limited_Cost_Sharing.pdf
11/24/2021 2:26 PM 1345939 98780LA001000100.pdf
11/24/2021 2:26 PM 1345939 98780LA001000101.pdf
11/24/2021 2:14 PM 1307204 98780LA001000102.pdf
11/24/2021 2:33 PM 1382103 98780LA001000103.pdf
11/24/2021 2:30 PM 1346701 98780LA001000104.pdf
11/24/2021 2:30 PM 1348074 98780LA001000105.pdf
11/24/2021 2:33 PM 1348176 98780LA001000106.pdf
11/24/2021 2:30 PM 1345939 98780LA001000200.pdf
11/24/2021 2:30 PM 1345939 98780LA001000201.pdf
11/24/2021 2:14 PM 1307204 98780LA001000202.pdf
11/24/2021 2:33 PM 1382103 98780LA001000203.pdf
11/24/2021 2:30 PM 1346701 98780LA001000204.pdf
11/24/2021 2:30 PM 1348074 98780LA001000205.pdf
11/24/2021 2:33 PM 1348176 98780LA001000206.pdf
11/24/2021 2:30 PM 1345939 98780LA001000300.pdf
11/24/2021 2:30 PM 1345939 98780LA001000301.pdf
11/24/2021 2:14 PM 1307204 98780LA001000302.pdf
11/24/2021 2:33 PM 1382103 98780LA001000303.pdf
11/24/2021 2:30 PM 1346701 98780LA001000304.pdf
11/24/2021 2:30 PM 1348074 98780LA001000305.pdf
11/24/2021 2:33 PM 1348176 98780LA001000306.pdf
11/24/2021 2:33 PM 1340238 98780LA002000100.pdf
11/24/2021 2:33 PM 1340238 98780LA002000101.pdf
11/24/2021 2:14 PM 1307204 98780LA002000102.pdf
11/24/2021 2:39 PM 1297075 98780LA002000103.pdf
11/24/2021 2:33 PM 1341135 98780LA002000104.pdf
11/24/2021 2:33 PM 1341523 98780LA002000105.pdf
11/24/2021 2:33 PM 1336506 98780LA002000106.pdf
11/24/2021 2:33 PM 1340238 98780LA002000200.pdf
11/24/2021 2:33 PM 1340238 98780LA002000201.pdf
11/24/2021 2:14 PM 1307204 98780LA002000202.pdf
11/24/2021 2:39 PM 1297075 98780LA002000203.pdf
11/24/2021 2:33 PM 1341135 98780LA002000204.pdf
11/24/2021 2:33 PM 1341523 98780LA002000205.pdf
11/24/2021 2:33 PM 1336506 98780LA002000206.pdf
11/24/2021 2:33 PM 1340238 98780LA002000300.pdf
11/24/2021 2:33 PM 1340238 98780LA002000301.pdf
11/24/2021 2:14 PM 1307204 98780LA002000302.pdf
11/24/2021 2:39 PM 1297075 98780LA002000303.pdf
11/24/2021 2:33 PM 1341135 98780LA002000304.pdf
11/24/2021 2:33 PM 1341523 98780LA002000305.pdf
11/24/2021 2:33 PM 1336506 98780LA002000306.pdf
11/24/2021 2:21 PM 1346381 98780LA003000100.pdf
11/24/2021 2:21 PM 1346381 98780LA003000101.pdf
11/24/2021 2:14 PM 1307204 98780LA003000102.pdf
11/24/2021 2:26 PM 1382936 98780LA003000103.pdf
11/24/2021 2:26 PM 1346381 98780LA003000200.pdf
11/24/2021 2:21 PM 1346381 98780LA003000201.pdf
11/24/2021 2:14 PM 1307204 98780LA003000202.pdf
11/24/2021 2:26 PM 1382936 98780LA003000203.pdf
11/24/2021 2:26 PM 1346381 98780LA003000300.pdf
11/24/2021 2:26 PM 1346381 98780LA003000301.pdf
11/24/2021 2:14 PM 1307204 98780LA003000302.pdf
11/24/2021 2:26 PM 1382936 98780LA003000303.pdf
11/24/2021 2:17 PM 1343294 98780LA004000100.pdf
11/24/2021 2:17 PM 1343294 98780LA004000101.pdf
11/24/2021 2:14 PM 1307204 98780LA004000102.pdf
11/24/2021 2:21 PM 1375595 98780LA004000103.pdf
11/24/2021 2:17 PM 1343294 98780LA004000200.pdf
11/24/2021 2:17 PM 1343294 98780LA004000201.pdf
11/24/2021 2:14 PM 1307204 98780LA004000202.pdf
11/24/2021 2:21 PM 1375595 98780LA004000203.pdf
11/24/2021 2:17 PM 1343294 98780LA004000300.pdf
11/24/2021 2:17 PM 1343294 98780LA004000301.pdf
11/24/2021 2:14 PM 1307204 98780LA004000302.pdf
11/24/2021 2:21 PM 1375595 98780LA004000303.pdf
11/24/2021 2:17 PM 1336615 98780LA005000100.pdf
11/24/2021 2:17 PM 1336615 98780LA005000101.pdf
11/24/2021 2:14 PM 1307204 98780LA005000102.pdf
11/24/2021 2:21 PM 1368921 98780LA005000103.pdf
11/24/2021 2:17 PM 1336615 98780LA005000200.pdf
11/24/2021 2:17 PM 1336615 98780LA005000201.pdf
11/24/2021 2:14 PM 1307204 98780LA005000202.pdf
11/24/2021 2:21 PM 1368921 98780LA005000203.pdf
11/24/2021 2:21 PM 1336615 98780LA005000300.pdf
11/24/2021 2:21 PM 1336615 98780LA005000301.pdf
11/24/2021 2:14 PM 1307204 98780LA005000302.pdf
11/24/2021 2:21 PM 1368921 98780LA005000303.pdf
11/24/2021 2:21 PM 1344085 98780LA006000100.pdf
11/24/2021 2:21 PM 1344085 98780LA006000101.pdf
11/24/2021 2:14 PM 1307204 98780LA006000102.pdf
11/24/2021 2:21 PM 1378509 98780LA006000103.pdf
11/24/2021 2:21 PM 1344085 98780LA006000200.pdf
11/24/2021 2:21 PM 1344085 98780LA006000201.pdf
11/24/2021 2:14 PM 1307204 98780LA006000202.pdf
11/24/2021 2:21 PM 1378509 98780LA006000203.pdf
11/24/2021 2:21 PM 1344085 98780LA006000300.pdf
11/24/2021 2:21 PM 1344085 98780LA006000301.pdf
11/24/2021 2:14 PM 1307204 98780LA006000302.pdf
11/24/2021 2:21 PM 1378509 98780LA006000303.pdf
11/24/2021 2:39 PM 1347009 98780LA007000100.pdf
11/24/2021 2:39 PM 1347009 98780LA007000101.pdf
11/24/2021 2:17 PM 1307991 98780LA007000102.pdf
11/24/2021 2:39 PM 1306198 98780LA007000103.pdf
11/24/2021 2:39 PM 1346347 98780LA007000104.pdf
11/24/2021 2:39 PM 1347789 98780LA007000105.pdf
11/24/2021 2:39 PM 1348223 98780LA007000106.pdf
11/24/2021 2:39 PM 1347009 98780LA007000200.pdf
11/24/2021 2:39 PM 1347009 98780LA007000201.pdf
11/24/2021 2:17 PM 1307991 98780LA007000202.pdf
11/24/2021 2:39 PM 1306198 98780LA007000203.pdf
11/24/2021 2:39 PM 1346347 98780LA007000204.pdf
11/24/2021 2:39 PM 1347789 98780LA007000205.pdf
11/24/2021 2:39 PM 1348223 98780LA007000206.pdf
11/24/2021 2:39 PM 1347009 98780LA007000300.pdf
11/24/2021 2:39 PM 1347009 98780LA007000301.pdf
11/24/2021 2:17 PM 1307991 98780LA007000302.pdf
11/24/2021 2:39 PM 1306198 98780LA007000303.pdf
11/24/2021 2:39 PM 1346347 98780LA007000304.pdf
11/24/2021 2:39 PM 1347789 98780LA007000305.pdf
11/24/2021 2:39 PM 1348223 98780LA007000306.pdf
11/24/2021 2:30 PM 1339241 98780LA008000100.pdf
11/24/2021 2:30 PM 1339241 98780LA008000101.pdf
11/24/2021 2:14 PM 1307204 98780LA008000102.pdf
11/24/2021 2:30 PM 1375188 98780LA008000103.pdf
11/24/2021 2:30 PM 1264304 98780LA008000104.pdf
11/24/2021 2:30 PM 1340330 98780LA008000105.pdf
11/24/2021 2:30 PM 1340507 98780LA008000106.pdf
11/24/2021 2:30 PM 1339241 98780LA008000200.pdf
11/24/2021 2:30 PM 1339241 98780LA008000201.pdf
11/24/2021 2:14 PM 1307204 98780LA008000202.pdf
11/24/2021 2:30 PM 1375188 98780LA008000203.pdf
11/24/2021 2:30 PM 1264304 98780LA008000204.pdf
11/24/2021 2:30 PM 1340330 98780LA008000205.pdf
11/24/2021 2:30 PM 1340507 98780LA008000206.pdf
11/24/2021 2:26 PM 1339241 98780LA008000300.pdf
11/24/2021 2:26 PM 1339241 98780LA008000301.pdf
11/24/2021 2:14 PM 1307204 98780LA008000302.pdf
11/24/2021 2:30 PM 1375188 98780LA008000303.pdf
11/24/2021 2:26 PM 1264304 98780LA008000304.pdf
11/24/2021 2:26 PM 1264304 98780LA008000305.pdf
11/24/2021 2:26 PM 1340507 98780LA008000306.pdf
11/24/2021 2:26 PM 1346927 98780LA009000100.pdf
11/24/2021 2:26 PM 1346927 98780LA009000101.pdf
11/24/2021 2:14 PM 1307204 98780LA009000102.pdf
11/24/2021 2:26 PM 1346927 98780LA009000103.pdf
11/24/2021 2:26 PM 1346927 98780LA009000200.pdf
11/24/2021 2:26 PM 1346927 98780LA009000201.pdf
11/24/2021 2:14 PM 1307204 98780LA009000202.pdf
11/24/2021 2:26 PM 1346927 98780LA009000203.pdf
11/24/2021 2:26 PM 1346927 98780LA009000300.pdf
11/24/2021 2:26 PM 1346927 98780LA009000301.pdf
11/24/2021 2:17 PM 1307204 98780LA009000302.pdf
11/24/2021 2:26 PM 1346927 98780LA009000303.pdf
11/24/2021 2:17 PM 1322861 98780LA010000100.pdf
11/24/2021 2:17 PM 1322861 98780LA010000101.pdf
11/24/2021 2:17 PM 1307204 98780LA010000102.pdf
11/24/2021 2:21 PM 1322861 98780LA010000103.pdf
11/24/2021 2:17 PM 1322861 98780LA010000200.pdf
11/24/2021 2:17 PM 1322861 98780LA010000201.pdf
11/24/2021 2:17 PM 1307204 98780LA010000202.pdf
11/24/2021 2:21 PM 1322861 98780LA010000203.pdf
11/24/2021 2:17 PM 1322861 98780LA010000300.pdf
11/24/2021 2:17 PM 1322861 98780LA010000301.pdf
11/24/2021 2:17 PM 1307204 98780LA010000302.pdf
11/24/2021 2:21 PM 1322861 98780LA010000303.pdf