Health Insurance. State County Issuer Name

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1 State County Issuer Name FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare Page 1 of 24 01/07/2016

2 Plan Marketing Name Aetna Advantage 5750 PD Aetna Advantage Aetna AdvantagePlus 5500 PD Aetna Basic Aetna Premier 2000 PD Aetna Classic 3500 PD Aetna Classic mycigna Copay Assure Gold mycigna Health Flex mycigna Health Flex mycigna Copay Assure Silver mycigna Health Flex mycigna Health Flex mycigna Health Flex mycigna Health Savings mycigna Health Flex mycigna Health Flex mycigna Health Savings BlueOptions Everyday Health Premier 1418V BlueOptions Everyday Health Premier 1420V Customer Service Phone Number Toll Free Page 2 of 24 01/07/2016

3 Customer Service Phone Number Local Customer Service Phone Number TTY Page 3 of 24 01/07/2016

4 Plan ID - Standard Component 23841FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL Page 4 of 24 01/07/2016

5 Page 5 of 24 01/07/2016

6 BlueOptions Everyday Health 1416 BlueOptions Everyday Health Plus 1416P BlueOptions All Copay 1424 BlueOptions All Copay Plus 1424P BlueOptions Predictable Cost 1413 BlueOptions Everyday Health 1410 BlueOptions Everyday Health Plus 1410P BlueSelect Predictable Cost 1446 BlueSelect Predictable Cost 1456 BlueSelect Predictable Cost Plus 1446P BlueSelect Predictable Cost Plus 1456P BlueSelect Essential 1434 BlueSelect Essential 1439 BlueSelect Essential (HSA) 1452 BlueSelect Essential (HSA) 1463 BlueSelect Essential Plus 1434P BlueSelect Essential Plus 1439P BlueSelect Essential (HSA) Plus 1452P BlueSelect Essential (HSA) Plus 1463P BlueSelect Everyday Health Premier 1453V BlueSelect Everyday Health 1464 BlueSelect Everyday Health Plus 1464P Page 6 of 24 01/07/2016

7 Page 7 of 24 01/07/2016

8 16842FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL Page 8 of 24 01/07/2016

9 Page 9 of 24 01/07/2016

10 BlueSelect Everyday Health 1451 BlueSelect Everyday Health 1453 BlueSelect Everyday Health Plus 1451P BlueSelect Everyday Health Plus 1453P BlueSelect Everyday Health Premier 1451V BlueSelect Everyday Health 1449 BlueSelect Everyday Health Plus 1449P BlueSelect All Copay 1457 BlueSelect All Copay Plus 1457P BlueSelect Everyday Health 1443 BlueSelect Everyday Health Plus 1443P BlueOptions Catastrophic 1433 BlueOptions Predictable Cost 1423 BlueOptions Predictable Cost Plus 1413P BlueOptions Predictable Cost Plus 1423P BlueOptions Essential 1401 BlueOptions Essential 1406 BlueOptions Essential (HSA) 1419 BlueOptions Essential (HSA) 1430 BlueOptions Essential Plus 1401P BlueOptions Essential Plus 1406P Page 10 of 24 01/07/2016

11 Page 11 of 24 01/07/2016

12 16842FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL Page 12 of 24 01/07/2016

13 Page 13 of 24 01/07/2016

14 BlueOptions Essential (HSA) Plus 1419P BlueOptions Essential (HSA) Plus 1430P BlueOptions Everyday Health 1431 BlueOptions Everyday Health Plus 1431P BlueOptions Everyday Health 1418 BlueOptions Everyday Health 1420 BlueOptions Everyday Health Plus 1418P BlueOptions Everyday Health Plus 1420P BlueCare Essential (HSA) Plus 1497P BlueCare Everyday Health 1498 BlueCare Everyday Health Plus 1498P BlueCare Everyday Health 1485 BlueCare Everyday Health 1487 BlueCare Everyday Health Plus 1485P BlueCare Everyday Health Plus 1487P BlueCare Everyday Health 1483 Page 14 of 24 01/07/2016

15 Page 15 of 24 01/07/2016

16 16842FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL Page 16 of 24 01/07/2016

17 Page 17 of 24 01/07/2016

18 BlueCare Everyday Health Plus 1483P BlueCare All Copay 1491 BlueCare All Copay Plus 1491P BlueCare Everyday Health 1477 BlueCare Everyday Health Plus 1477P BlueCare Essential 1473 BlueCare Essential 1468 BlueCare Predictable Cost Plus 1490P BlueCare Predictable Cost Plus 1480P BlueCare Predictable Cost 1490 BlueCare Predictable Cost 1480 BlueCare Essential (HSA) Plus 1486P BlueCare Essential Plus 1473P Page 18 of 24 01/07/2016

19 Page 19 of 24 01/07/2016

20 30252FL FL FL FL FL FL FL FL FL FL FL FL FL Page 20 of 24 01/07/2016

21 FL ORANGE Humana Medical Plan, Inc. FL ORANGE Humana Medical Plan, Inc. FL ORANGE Humana Medical Plan, Inc. FL ORANGE Humana Medical Plan, Inc. FL ORANGE Humana Medical Plan, Inc. FL ORANGE Humana Medical Plan, Inc. Page 21 of 24 01/07/2016

22 BlueCare Essential Plus 1468P BlueCare Essential (HSA) 1497 BlueCare Essential (HSA) 1486 Humana Direct Basic 6350/6350 Plan Humana Direct Bronze 6300/6300 Plan Humana Direct Bronze 4850/6350 Plan Humana Direct Silver 4600/6300 Plan Humana Direct Gold 2500/3500 Plan Humana Direct Platinum 1000/1500 Plan Page 22 of 24 01/07/2016

23 Page 23 of 24 01/07/2016

24 30252FL FL FL FL FL FL FL FL FL Page 24 of 24 01/07/2016

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