EASC/Dodd Brokerage

1181 Noe Bixby Rd
Columbus, OH 43213
614-863-3633    800-862-0085     Fax 614-863-0205

Ancilliary Insurance Products

Health Insurance Products
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American Community Mutual

Please select from the following PDFs to learn more about the American Community Mutual Plans.

Individual Product Brochures		Group Product Brochures
Community Flex Brochure 12/9/08		Latitude Brochure OH 7/15/09
Coverage on Demand Brochure		Omega Large Groups
Next Generation HSA		Ancillary Benefits
Triple Tier Brochure		APEP Choices Brochure
Short Term Health Plan		Next Generation HSA
		Triple Tier

Individual Benefit Charts		Group Product Benefit Charts
Community Flex Benefit Chart - All States 12/9/08		APEP Choices Benefit Chart
Coverage on Demand Benefit Chart - OH		Next Generation HSA
Triple Tier Benefit Chart - OH		Triple Tier
Next Generation HSA Benefit Chart - OH		Latitude Benefit Chart 8/10/09
AZ - Next Generation HSA Benefit Chart		Latitude Matrix 8/10/09
NE - Next Generation HSA Benefit Chart
TX - Coverage on Demand Benefit Chart
TX - Next Generation HSA Benefit Chart
WI - Next Generation HSA Benefit Chart


Individual Plan Applications & Forms		Group Plan Applications and Forms
OH Rewrite Application 6/26/09		Small Group Employer Application 7/25/09
Ind Health App TX 1-1-09 12/9/08		Group Employee Application 7/25/09
Ind Health App OH 1-1-09 12/9/08		HRA Employer Application
Ind Health App TN 1-1-09 12/9/08		Trust Request
Ind Health App AZ 1-1-09		Consent Form
Ind Health App NE 1-1-09		690 Application Update
Coverage on Demand Upgrade Form		Large Group Proposal Request
Short Term Rates & Application 9/25/08		Large Group Underwriting Bulletin
		Large Group 51+ Employer App


Individual Rate Charts
AZ - Next Generation Rate Chart
NE - Next Generation Rate Chart
Next Generation HSA Rate Chart - OH
TX - Next Generation HSA Rate Chart
TX - Coverage on Demand Rate Chart
WI - Next Generation HSA Rate Chart


Miscellaneous Forms
Agent Appointment Booklet and Commission Summary
Small Group Quote Request Form
American Community Supply Request Form
American Community Fact Sheet
American Community Get Connected


PPO Network Links
First Health Network
Super Med Network
PHCS
Global Health Network (Out of State)
VSP (Vision)
CareMark (Prescriptions)

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