IAC - Personal Health Plans
Click on the highlighted plan to see more information.

Available forms for IAC Personal Health Plans
  Download » 2008 Express Scripts Formulary
 
 
Brochures and Plan Overviews
 
  Download » IAC Personal Health Plans Product Brochure
IAC PHP Bro 2-08  
  Download » Advantage Plan Overview
Available Online Only. One page overview of the Advantage Plan for the IAC Personal Health Plans.  
  Download » Deluxe Plan Overview
Available Online Only. One page overview of the Deluxe Plan for the IAC Personal Health Plans. 
  Download » High Deductible Health Plan Overview
Available Online Only. One page overview of the High Deductible Health Plan for the IAC Personal Health Plans.  
  Download » Daily Plan Overview
Available Online Only. One page overview of the Daily Plan for the IAC Personal Health Plans.  
  Download » Value Plan Overview
Available Online Only. One page overview of the Value Plan for the IAC Personal Health Plans. 
  Download » IAC: Brief Overview
Learn more about what IAC can do for your business. 
 
Applications and Forms
 
  Download » Florida Application for Insurance
Note: This download includes the Personal Health Plans Plan Selection Form
FL FSL App (7-07)  
 
  Download » General Application for Insurance
Note: This download includes the Personal Health Plans Plan Selection Form
For use in: AZ,IL,NE,NV,NM,OH,OK,
TN,WV,WI
Form Number: Gnl FSL App (70307)  
Ancillary Benefits
 
  Download » Eyemed Vision Plan Overview
Eyemed OV 10-24-02 
 
HSA
 
  Download » HSA Set-up Form for IAC Packaged HSA (Required if choosing automatic HSA set-up)
Individual HSA Application addendum rev 11-2-04  
 
Miscellaneous
 
  Download » IAC Individual Health Plans Producer Guide
FSL Producer Guide 11/07  
  Download » Field Underwriting Guide for the IAC Personal Health Plans
Use this guide to understand the underwriting processes IAC uses. NOTE: 140 pages
Field Underwriting Guide (3/08)  
  Download » List Bill Election Form
Ind-LBEF (12/02) 
  Download » List Billing / Payroll Deduction Set-Up Form
Ind-PDLB 12/02  
  Download » Confirmation of Sole Employee Entity
Must be submitted by business owners paying by business check in GA, KS, MI, NC, OK, TN, VA and WI 
  Download » PHP State Variations
PHP State Variations 2-08  
  Download » IAC PHP Three Ways to Apply
Review the three ways your clients can enroll in IAC Personal Health Plans  

For more details about this, or any other plan, contact us.

NOTE: You must have the Adobe Acrobat Reader installed on your system to read the rate schedules. If you do not have the Adobe Acrobat Reader installed on your system, click here, or click the button to the right to download it.