
FORMS
Brochures, Enrollment Information & Forms
HCTC Forms & Brochures
HCTC - (HEALTH COVERAGE TAX CREDIT)
(13441A form required by the IRS/HCTC Program)
completed sample forms available at bottom of this page for 13441-A form
SUMMARY PLAN DESCRIPTIONS FOR HCTC PLANS
Medicare Forms & Brochures
MEDICARE
PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.
SUMMARY PLAN DESCRIPTIONS FOR HARTFORD MEDICARE PLANS
Brochures, Enrollment Information & Forms
HCTC Forms & Brochures
HCTC - (HEALTH COVERAGE TAX CREDIT)
(13441A form required by the IRS/HCTC Program)
SUMMARY PLAN DESCRIPTIONS FOR HCTC PLANS
Medicare Forms & Brochures
MEDICARE
PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.
SUMMARY PLAN DESCRIPTIONS FOR HARTFORD MEDICARE PLANS
Brochures, Enrollment Information & Forms
HCTC Forms & Brochures
HCTC - (HEALTH COVERAGE TAX CREDIT)
(13441A form required by the IRS/HCTC Program)
SUMMARY PLAN DESCRIPTIONS FOR HCTC PLANS
Medicare Forms & Brochures
MEDICARE
PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.
SUMMARY PLAN DESCRIPTIONS FOR HARTFORD MEDICARE PLANS