The following materials are required when presenting SimplyBlue

Personal Dental Coverage Flier
Stock Code: M-225
Published 1/06

Individual Health Coverage Application
Stock Code: APP-IHCA
Publication Date: 12/07

SimplyBlue Rate Sheet
Stock Code: COMM-441
Publication Date: 10/07

Notice of Privacy Practices
Stock Code: M-212
Publication Date: 4/05

HIPAA Portability & Accountability
Stock Code: COMM-377
Publication Date: 11/03

The following items are not required but are available:

Individual Health Coverage Change Application
Stock Code: APP-IHCC
Published: 07/07