Materials, Forms and Documents
- Chronic Condition Management Brochure
- COSE Benefit Plan Contact List
- Compliance Guide
- Employee Application
- EmployerLink Flyer
- Find a Provider Flyer
- How to Read Your EOB Brochure
- ID Resolution Flyer
- Make the Most of Your Membership Brochure
- Member FAQ Guide
- Member ID Card Flyer
- Member Online Tools Flyer
- Membership & Billing Services Guide
- Mobile App Flyer
- My Health Plan Flyer
- Mutual Appreciation Program Overview
- MedMutual Pet™
Benefit Sheets for SDC Dental Plans Effective 1/1/2025 or later
SDC Small Group Dental Plan 1314 - MAC
SDC Small Group Dental Plan 1314 - UCR
SDC Small Group Dental Plan 1315 - MAC
SDC Small Group Dental Plan 1315 - UCR
SDC Small Group Dental Plan 1316 - MAC
SDC Small Group Dental Plan 1316 - UCR
SDC Small Group Dental Plan 1317 - MAC
SDC Small Group Dental Plan 1317 - UCR
SDC Small Group Dental Plan 390 - MAC
SDC Small Group Dental Plan 390 - UCR
Benefit Sheets for MedMutual Dental Plans Effective Prior to 1/1/2025
Dental PPO #1 (Employer Sponsored – No Orthodontia)
Dental PPO #1 (Employer Sponsored – With Orthodontia)
Dental PPO #1 (Voluntary – No Orthodontia)
Dental PPO #2 (Employer Sponsored – No Orthodontia)
Dental PPO #2 (Employer Sponsored – With Orthodontia)
Dental PPO #2 (Voluntary – No Orthodontia)
Dental Value PPO #1 (Employer Sponsored – No Orthodontia)
Dental Value PPO #1 (Employer Sponsored – With Orthodontia)
Dental Value PPO #1 (Open Access – No Orthodontia)
Dental Value PPO #1 (Voluntary – No Orthodontia)
Dental Value PPO #2 (Employer Sponsored – No Orthodontia)
Dental Value PPO #2 (Employer Sponsored – With Orthodontia
Dental Value PPO #2 (Open Access – No Orthodontia)
Dental Value PPO #2 (Voluntary – No Orthodontia)
Dental Value PPO #3 (Open Access – No Orthodontia)
Dental Value PPO #3 (Voluntary – No Orthodontia)
Dental PPO #1 (Employer Sponsored – No Orthodontia)
Dental PPO #1 (Employer Sponsored – With Orthodontia)
Dental PPO #1 (Voluntary – No Orthodontia)
Dental PPO #2 (Employer Sponsored – No Orthodontia)
Dental PPO #2 (Employer Sponsored – With Orthodontia)
Dental PPO #2 (Voluntary – No Orthodontia)
Dental Value PPO #1 (Employer Sponsored – No Orthodontia)
Dental Value PPO #1 (Employer Sponsored – With Orthodontia)
Dental Value PPO #1 (Voluntary – No Orthodontia)
Dental Value PPO #2 (Employer Sponsored – No Orthodontia)
Dental Value PPO #2 (Employer Sponsored – With Orthodontia)
Dental Value PPO #2 (Voluntary – No Orthodontia)
Dental Value PPO #3 (Employer Sponsored—No Orthodontia)
Vision Plan
MedFlex HSA Plans
MedFlex Plans
HSA Plans
CLE-Care HSA Plans
CLE-Care Plans
MMRx Plans
COSE Benefit Plan 3030-5000 MMRx
COSE Benefit Plan 3030-2000 MMRx
COSE Benefit Plan 3030-1500 MMRx
COSE Benefit Plan 3030-1000 MMRx
Rx Plans
COSE Benefit Plan 3030-0 PD Rx
COSE Benefit Plan 3020-6000 Rx
COSE Benefit Plan 3020-3000 Rx
COSE Benefit Plan 3020-2000 Rx
COSE Benefit Plan 3020-1500 Rx
CLE-Care HMO Plans
Copay Plans
HRA Plans
HSA Plans
MedFlex Plans
Share Plans
CLE-Care HMO Plans
Copay Plans
HRA Plans
HSA Plans
HSA 7500 MMRx (effective 8/1/23)
MedFlex Plans
Share Plans
HSA7500 W MMRX (effective 8/1/23)