2012 MEDICARE OBSOLESCENCE REPORT - Health Net · 2012 MEDICARE OBSOLESCENCE REPORT Region Job...

2012 MEDICARE OBSOLESCENCE REPORT

Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateAZ AZ68203-2 N/A 2011 AZ BRE for Offset - TEMPE N/A 12/31/2011AZ AZ68231-1 N/A 2011 AZ Transportation Change Notification Letter - SPA H0351_2011_0804 12/1/2011AZ AZ68239-1 N/A 2011 Nov.Secret Shopper Buckslip-AZ(SPN) Y0035_2011_0742_SPN 12/31/2011AZ AZ68241-1 N/A 2011 AZ H0351 Part C Plan Ratings - NEW - Spanish H0351_2011_0793_SPN 12/31/2012AZ AZ68243-1 N/A 2011 H0351 AZ Part D Plan Ratings - NEW - Spanish H0351_2011_0818_SPN 12/31/2012AZ AZ68251-1 N/A 2011 AZ Amber/Jade Transportation Benefit Exhaustion Letter -SPANISH H0351_2011_0805_SPN 12/31/2011AZ AZ70073-2 6024647 2011 Amber Benefit Highlights (for Retention) Y0035_2011_0036 12/31/2011AZ AZ70073-2 6024647 2011 Amber Benefit Hiltes (for Retention) Y0035_2011_0036_SPN 12/31/2011AZ AZ72089-1 N/A Medicare - Broker Roll Out Session Invites (Tempe 5) N/A 11/9/2012AZ AZ72091-1 N/A Medicare - Broker Roll Out Session Invites (Tempe 6) N/A 11/9/2012AZ AZ72091-2 N/A Medicare - Broker Roll Out Session Invites (Tempe 6) N/A 11/9/2012AZ AZ74182-1 N/A 2011 Amber/Jade Transportation Flyer - SPANISH H0351_2011_0784_SPN 12/31/2011AZ AZ77046-1 N/A 2012 AZ Ruby/Green SB - SPA H0351_2012_0051_SPN 12/31/2012AZ AZ77076-1 N/A 2012 AZ Ruby/Green Additional Information - SPN DK H0351_2012_0091 12/31/2012AZ AZ77078-1 N/A 2012 AZ Jade Chronic SNP Additional Information Brochure (DK) - SPA H0351_2012_0223 12/31/2012AZ AZ77080-1 N/A 2012 AZ Ruby/Green Additional Information - South (DK) - SPA H0351_2012_0091_SPN 12/31/2012AZ AZ77082-1 N/A 2012 AZ Amber Additional Information Brochure (DK) - SPA H0351_2012_0226 12/31/2012AZ AZ77084-1 N/A 2012 AZ Statements of Understanding - DK - SPN H0351_2012_0005_SPN 12/31/2012AZ AZ77085-1 6025965 2012 AZ Statements of Understanding - Offset - SPA H0351_2012_0005_SPN 12/31/2012AZ AZ77085-2 6025877 2012 AZ Statements Understanding - Offset H0351_2012_0005_ 12/31/2012AZ AZ77088-1 N/A 2012 AZ Enrollment Form (non-model version) - DK - SPA Y0035_2012_0078_SPN 12/31/2012AZ AZ77222-1 6025806 2012 AZ Long Enrollment Form (Model Version) - Offset Y0035_2012_0078 12/31/2012AZ AZ77222-2 N/A 2012 AZ Long Enrollment Form (Model) - DK SPN Y0035_2012_0078_SPN 12/31/2012AZ AZ77222-3 6026099 2012 AZ Long Enrollment Form Model Offset SPN Y0035_2012_0078_SPN 12/31/2012AZ AZ77222-4 6025806 2012 AZ Long Enrollment Form (Model Version) - Offset Y0035_2012_0078 12/31/2012AZ AZ77224-1 N/A 2012 AZ Long Enrollment Form (Non-Model Version) - Offset - SPA Y0035_2012_0078_SPN 12/31/2012AZ AZ77231-1 N/A 2012 AZ ABD Form - DK - SPA H0351_2012_0010_SPN 12/31/2012AZ AZ77234-1 6026074 2012 AZ ABD Form - SPN Offset NCR H0351_2012_0010_SPN 12/31/2012AZ AZ77235-1 6025963 2012 AZ Gold Benefits Enrollment Form - Offset - SPA H0351_2012_0070_SPN 12/31/2012AZ AZ77235-2 6024590 2012 AZ Gold Benefits Enrollment Form - Offset H0351_2012_0070 12/31/2012AZ AZ77236-1 N/A 2012 AZ Jade Pre Qual Form - DK - SPA H0351_2012_0004_SPN 12/31/2012AZ AZ77236-2 6026268 2012 AZ Jade Pre Qual Form - Offset H0351_2012_0004 12/31/2012AZ AZ77236-3 6026320 2012 AZ Jade Pre Qual Form - Offset H0351_2012_0004 12/31/2012AZ AZ77238-1 N/A 2012 AZ Gold Benefits Brochure - DK - SPA H0351_2012_0302_SPN 12/31/2012AZ AZ77239-1 N/A 2012 AZ Decision Power Healthy Discounts Brochure DK - SPA Y0035_2012_0029_SPN 12/31/2012AZ AZ77244-1 N/A 2012 AZ SilverSneakers Pre Enrollment Flyer - DK - SPA H0351_2012_0034_SPN 12/31/2012AZ AZ77246-1 N/A 2012 AZ Take Care Flyer (Post) - SPN H0351_2012_0008_SPN 12/31/2012AZ AZ77247-1 N/A 2012 AZ Part C Plan Ratings - DK - SPA H0351_2012_0490_SPN 12/31/2012AZ AZ77248-1 N/A 2012 AZ Part D Plan Ratings - DK - SPA H0351_2012_0491_SPN 12/31/2012AZ AZ77249-1 N/A 2012 AZ Post Enrollment Letter - SPA Y0035_2012_0089 _SPN 12/31/2012AZ AZ77249-2 6025544 Straight Reprint 2012 AZ Post Enrollment Letter Y0035_2012_0089 12/31/2012AZ AZ77250-1 N/A 2012 AZ Amber/Jade Transportation Flyer - SPA H0351_2012_0061_SPN 12/31/2012AZ AZ77253-1 N/A 2012 AZ Post Enrollment Letter - SPA Y0035_2012_0089_SPN 12/31/2012AZ AZ77259-1 6026260 2012 AZ Gold Benefits Brochure (Offset) - SPA H0351_2012_0302_SPN 12/31/2012AZ AZ77268-1 N/A 2012 AZ HMO Provider Directory - North ENG Y0035_2012_0301 12/31/2012AZ AZ77268-2 N/A 2012 AZ HMO Provider Directory - North SPN Y0035_2012_0301 12/31/2012AZ AZ77268-3 6025166 Straight Reprint 2012 AZ HMO Provider Directory - North COMPLETE Y0035_2012_0301 12/31/2012AZ AZ77282-1 N/A 2012 AZ HMO Provider Directory - South ENG Y0035_2012_0301 12/31/2012AZ AZ77282-2 N/A 2012 AZ HMO Provider Directory - South SPN Y0035_2012_0301 12/31/2012AZ AZ77291 6025164 2012 AZ Dental PPO Provider Directory COMPLETE H0351_2012_0073 12/31/2012AZ AZ77291-1 N/A 2012 AZ Dental PPO Provider Directory - ENG H0351_2012_0073 12/31/2012AZ AZ77291-2 N/A 2012 AZ Dental PPO Provider Directory - SPN H0351_2012_0073 12/31/2012

AZ AZ77433-1 6025862 2012 AZ CoCare Enrollment Form (Offset - NCR)H0351_EG_2012_0026 Compliance Approved 09282011 12/1/2012

AZ AZ77484-1 N/A 2012 AZ Ruby 1 ANOC - DK - SPA H0351_2012_0100_SPN 12/31/2012AZ AZ77484-2 N/A 2012 AZ Ruby 1 ANOC -Large print H0351_2012_0100 12/31/2012AZ AZ77485-1 N/A 2012 AZ Ruby 4 North ANOC - DK - SPA H0351_2012_0101_SPN 12/31/2012AZ AZ77486-1 N/A 2012 AZ Ruby 4 South ANOC - DK - SPA H0351_2012_0102_SPN 12/31/2012AZ AZ77487-1 N/A 2012 AZ Green ANOC - DK- SPA H0351_2012_0103 12/31/2012AZ AZ77488-1 N/A 2012 AZ Jade ANOC - DK - SPA H0351_2012_0104_SPN 12/31/2012AZ AZ77489-1 N/A 2012 AZ Amber ANOC - DK - SPA H0351_2012_0105_SPN 12/31/2012AZ AZ77743 6025785 2012 AZ Short Enrollment Form - Offset Y0035_2012_0077 12/31/2012AZ AZ77743-1 N/A 2012 AZ Short Enrollment Form - DK Y0035_2012_0077 12/31/2012AZ AZ77743-2 6025912 2012 AZ Short Enrollment Form (SPN) - Offset Y0035_2012_0077_SPN 12/31/2012AZ AZ77743-3 N/A 2012 AZ Short Enrollment Form - SPN DK Y0035_2012_0077_SPN 12/31/2012AZ AZ77743-4 6025785 2012 AZ Short Enrollment Form - Offset Y0035_2012_0077 12/31/2012AZ AZ78370 N/A 2012 AZ Pre-Enrollment Letter Y0035_2012_0003 12/31/2012AZ AZ78370-1 N/A 2012 AZ Pre-Enrollment Letter - SPA Y0035_2012_0003_SPN 12/31/2012AZ AZ78394-1 N/A 2012 AZ Benefits At A Glance - Maricopa, Pinal (North) - SPA Y0035_2012_0225_SPN 12/31/2012

AZ AZ78817 N/ATool Kit 2012 Jade In Home flyer - H0562_2012_0094 File & Use 08302011 H0351_2012_0094 File & Use 08302011 11/9/2012

AZ AZ78886 6024672 BRE - Tucson, AZ (New) N/A 12/31/2012

AZ AZ79036 N/A 2011 Ruby/Green Additional Information - Maricopa, Pinal (North)H0351_2011_0043 CMS Approved 09082010 12/31/2011

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Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete Date

AZ AZ79041 N/A2011 Ruby/Green Additional Information - Cochise, Pima, Santa Cruz (South)

H0351_2011_0043 CMS Approved 09082010 12/31/2011

AZ AZ79200 N/A AZ TPrognosis Tool Kit Flyer - Seminar N/A 11/9/2012AZ AZ79202 N/A AZ Prognosis Tool Kit Flyer - Inhome N/A 11/9/2012AZ AZ79869 6026008 2012 AZ Benefits At A Glance Brochure Y0035_2012_0225 (S5678, H0351) 12/31/2012AZ AZ79869-1 6026008 2012 AZ Benefits At A Glance Brochure Y0035_2012_0225 (S5678, H0351) 12/31/2012AZ AZ79875 N/A 2012 AZ How to Enroll (4 Easy Ways to Enroll) Y0035_2012_0002 12/31/2012AZ AZ79875-1 N/A 2012 AZ How to Enroll (4 Easy Ways to Enroll) - SPA Y0035_2012_0002_SPN 12/31/2012AZ AZ80060 N/A 2011 Nov. Buckslip (MBR Post Enroll LTR)-AZ Y0035_2011_0742 12/31/2011AZ AZ80960 N/A 2012 Appeals, Grievances and Formulary Exceptions Flyer Y0035_2012_0012 12/31/2012AZ AZ80960-1 N/A 2012 Appeals, Grievances and Formulary Exceptions Flyer - SPN Y0035_2012_0012_SPN 12/31/2012AZ AZ80961 N/A 2012 AZ Welcome to Health Net Flyer Y0035_2012_0014 12/31/2012AZ AZ80961-1 N/A 2012 AZ Welcome to Health Net Flyer - SPN Y0035_2012_0014_SPN 12/31/2012AZ AZ81063 N/A 2012 AZ Switch Kit Cover Letter H0351_2012_0060 12/31/2012AZ AZ81063-1 N/A 2012 AZ Switch Kit Cover Letter - SPN H0351_2012_0060_SPN 12/31/2012AZ AZ81287 N/A 2012 Custom Print Ad (template) Y0035_2011_1261 11/9/2012AZ AZ82569 N/A 2012 AZ Ruby 1(014) ANOC Cover LTR H0351_2012_0100 12/31/2012AZ AZ82569-1 N/A 2012 AZ Ruby 1(014) ANOC Cover-SPN H0351_2012_0100 12/31/2012AZ AZ82616 N/A 2012 AZ Ruby 4(036) ANOC Cover LTR H0351_2012_0101 12/31/2012AZ AZ82616-1 N/A 2012 AZ Ruby 4(036) ANOC Cover-SPN H0351_2012_0102 12/31/2012AZ AZ82618 N/A 2012 AZ Ruby 4(035) ANOC Cover LTR H0351_2012_0102 12/31/2012AZ AZ82618-1 N/A 2012 AZ Ruby 4(035) ANOC Cover-SPN H0351_2012_0101 12/31/2012AZ AZ82620 N/A 2012 AZ Jade (038) ANOC Cover LTR H0351_2012_0104 12/31/2012AZ AZ82620-1 N/A 2012 AZ Jade (038) ANOC Cover-SPN H0351_2012_0104 12/31/2012AZ AZ82625 N/A 2012 AZ Amber (029) ANOC Cover LTR H0351_2012_0105 12/31/2012AZ AZ82625-1 N/A 2012 AZ Amber (029) ANOC Cover-SPN H0351_2012_0103 12/31/2012AZ AZ82630 N/A 2012 AZ Green (030) ANOC Cover LTR H0351_2012_0103 12/31/2012AZ AZ82630-1 N/A 2012 AZ Green (030) ANOC Cover-SPN H0351_2012_0105 12/31/2012AZ AZ82681 N/A DK BRE - Tucson, AZ N/A 12/31/2012AZ AZ82795 N/A 2012 AZ Jade SB (DK) H0351_2012_0053 12/31/2012AZ AZ82795-1 N/A 2012 AZ Jade SB - SPN (DK) H0351_2012_0053_SPN 12/31/2012AZ AZ82797 N/A 2012 AZ Amber SB (DK) H0351_2012_0053 12/31/2012AZ AZ82797-1 N/A 2012 AZ Amber SB - SPN (DK) H0351_2012_0052_SPN 12/31/2012AZ AZ83957 N/A 2012 AZ SilverSneakers Faces Retirement [HN100027T 9.10] H0351_2012_0298 12/31/2012AZ AZ83959 N/A 2012 AZ SilverSneakers Faces Easy [HN100028T 9.10] H0351_2012_0297 12/31/2012AZ AZ83961 N/A 2012 AZ SilverSneakers Laces Retirement [HN100029T 9.10] H0351_2012_0299 12/31/2012AZ AZ83963 N/A 2012 AZ SilverSneakers Laces Easy [HN100030T 9.10] H0351_2012_0300 12/31/2012

AZ AZ83991 N/ATool Kit 2011 Jade In Home flyer ( Lock In Day 1) - H5439_2011_1351 File & Use 08222011 H0351_2011_1351 File & Use 08222011 11/9/2012

AZ AZ84321 N/A AZ Member Letter H0351_2011_1336 11/9/2012

AZ AZ84340 N/A AZ 2012 AEP SEM Landing PageY0035_2012_0355 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

AZ AZ84686 N/A AZ PDP Upsell to MAPD Flyer

Y0035_2012_0359 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use 10022011 11/9/2012

AZ AZ84716 N/A AZ Winback AEP 2012 T1 H0351_2012_0330 11/7/2012AZ AZ84718 N/A AZ Winback AEP 2012 T2 H0351_2012_0401 11/7/2012AZ AZ85076 N/A 2012 Custom Print Ad (AZ) Y0035_2011_1261 11/9/2012AZ AZ85080 N/A Tool Kit 2012 Ruby (HMO) Seminar flyer H0351_2012_0370 11/9/2012AZ AZ85167 N/A Tool Kit 2011/2012 Med Exp 101 Seminar Flyer Arizona Y0035_2011_1352 11/9/2012AZ AZ85247 N/A Broker TK/Ruby 4 (HMO) Plan Flyer 2012 H0351_2012_0364 11/8/2012

AZ AZ85264 N/ATool Kit - 2012 Multi Seminar Flyer Arizona customizable template for Print and Web

Y0035_2011_1272 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use08092011 11/9/2012

AZ AZ85367 N/A Tool Kit 2012 Prognosis Seminar Flyer AZ

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

AZ AZ85511 N/A Ad, AEP 2012 AZ New Campaign H0351_2012_0307 11/7/2012

AZ AZ85812 N/A Age-in IH AZ - 2012 AEPY0035_2010_1439 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

AZ AZ86095 N/ABroker TK 2012/Count On Me - No Seminar: Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

AZ AZ86099 N/ABroker TK 2012/Count On Me - With Seminar: Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

AZ AZ86410 N/A Tool Kit 2012 Prognosis Seminar Flyer AZ - Spanish Version Y0035_2012_0251_SPN 11/9/2012AZ AZ86433 N/A AZ Glaucoma Self Mailer QI Y0035_2011_1433 11/9/2012

AZ AZ86489 N/A AZ Lock-In 2012 Prognosis Seminar Flyer

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

AZ AZ86578 N/A Lock-In TK 2012/000 Jade (HMO/SNP) Flyer: H0351_2012_0438 H0351_2012_0438 11/8/2012

AZ AZ86578-1 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer (Spanish): H0351_2012_0438_SPN H0351_2012_0438_SPN 11/8/2012

AZ AZ86578-2 N/A Lock-In TK 2012/000 Jade (HMO/SNP) Flyer (Spanish) H0351_2012_0438_SPN 11/8/2012

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AZ AZ86617 N/A AZ Landing page - 2012 lock-inY0035_2012_0460 (H0351, H0562, H5439, H5520, H6815, S5678) 11/7/2012

AZ AZ86617-1 N/A AZ Landing page - 2012 lock-inY0035_2012_0795 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

AZ AZ86689 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer - With Bag: H0351_2012_0445 H0351_2012_0445 11/8/2012

AZ AZ86689-1 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer - With Bag (Spanish): H0351_2012_0445_SPN H0351_2012_0445_SPN 11/8/2012

AZ AZ86697 6026009 2012 AZ Gold Benefits Postcard H0351_2012_0512 12/31/2012AZ AZ86699 6026227 2012 AZ Gold Benefits Flyer H0351_2012_0513 12/31/2012AZ AZ87308 N/A Lock-In TK 2012/000 Jade (HMO/SNP) Flyer - With Bag (In Design File) H0351_2012_0445 11/8/2012AZ AZ88195 N/A 2012 Jade Self Mailer N/A 11/9/2012AZ AZ88424 N/A Jade 1/2 page ad H0351_2012_0605 11/9/2012AZ AZ88494 N/A AZ 2012 NEMO invitation H0351_2012_0655 11/9/2012AZ AZ88514 N/A Jade Radio Spot H0351_2012_0631 11/9/2012

AZ AZ88516 N/ABroker TK 2012/Count On Me - With Seminar (2/14 Release): Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

AZ AZ88519 N/ABroker TK 2012/Count On Me - No Seminar (2/14 Release): Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

AZ AZ88521 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer (2/14 Release): H0351_2012_0438 H0351_2012_0438 11/8/2012

AZ AZ88521-1 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer (Spanish) (2/14 Release): H0351_2012_0438_SPN H0351_2012_0438_SPN 11/8/2012

AZ AZ88527 N/A 2012 Custom Print Ad (AZ) - Broker Version (2/14 Release)Y0035_2011_1261 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

AZ AZ88531 N/A AZ Lock-In 2012 Prognosis Seminar Flyer (2/14 Release)Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

AZ AZ88535 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer - With Bag (2/14 Release): H0351_2012_0445 H0351_2012_0445 11/8/2012

AZ AZ88535-1 N/ALock-In TK 2012/000 Jade (HMO/SNP) Flyer - With Bag (Spanish) (2/14 Release): H0351_2012_0445_SPN H0351_2012_0445_SPN 11/8/2012

AZ AZ88601 6026313 2012 AZ HMO North Directory Insert Y0035_2012_0593 12/31/2012AZ AZ88603 6026314 2012 AZ HMO South Directory Insert Y0035_2012_0593 12/31/2012AZ AZ88850-1 N/A PCOA "Ages 'N Stages" AZ Daily Star Sponsorship Ad N/A 11/9/2012AZ AZ88888 N/A PCOA Gala N/A 11/9/2012AZ AZ89218 N/A AZ Age-In Tool Kit Flyer TEMPLATE: H0351_2012_0676 H0351_2012_0676 11/8/2012

AZ AZ89509 N/AAZ- NCD Letter (march mailing 2012) Y0035_2012_0612 (S5678, H0351, H0562, H5439, H5520, H6815, EG) CMS Approved 02062012

Y0035_2012_0612 (S5678, H0351, H0562, H5439, H5520, H6815, EG) CMS Approved 02062012 12/31/2012

AZ AZ89940 N/A AZ Age-In Tool Kit Flyer 2012 - Broker Version: H0351_2012_0676 H0351_2012_0676 11/8/2012AZ AZ90286 N/A AZ Age-In Tool Kit Flyer 2012 - Field Sales Version: H0351_2012_0676 H0351_2012_0676 11/8/2012

AZ AZ90696 N/AAZ Age-In Medicare 101 Seminar TK Flyer 2012 (Field Sales Version): Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

AZ AZ90699 N/AAZ Age-In Medicare 101 Seminar TK Flyer 2012 (Broker Version): Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

AZ AZ90804 N/A AZ Tool Kit - 2012 Multi Seminar Flyer (No PDP)

Y0035_2011_1272 (H0351,H0562,H5439,H5520,H6815,S5678) 11/8/2012

AZ AZ91665 N/A High Level Program Details Flyer N/A 11/9/2012AZ AZ92216 N/A AZ 2012 NEMO invitation - June H0351_2012_0655 11/9/2012AZ AZ92869 N/A AZ Jade/AmberTraining Invite - Tempe N/A 11/9/2012AZ AZ92874 N/A AZ Jade/Amber Training Invite - Tempe N/A 11/9/2012AZ AZ92887 N/A 2013 Sales Olympics logo - Medicare N/A 11/9/2012AZ AZ94287 N/A 2013 Sales Olympics T-shirt N/A 11/9/2012AZ AZ94289 N/A 2013 Sales Olympics Poster N/A 11/9/2012AZ AZ95000 N/A 2013 Sales Olympics Powerpoint Template N/A 11/9/2012AZ AZ95002 N/A 2013 Sales Olympics Avery Template - Name Tags N/A 11/9/2012AZ AZ95080 N/A Medicare - Broker Roll Out Session Invites (Phoenix - 1) N/A 11/9/2012AZ AZ95082 N/A Medicare - Broker Roll Out Session Invites (Tempe_2) N/A 11/9/2012AZ AZ95092 N/A Medicare - Broker Roll Out Session Invites (Tempe_3) N/A 11/9/2012AZ AZ95097 N/A Medicare - Broker Roll Out Session Invites Tempe_4) N/A 11/9/2012AZ AZ95100 N/A Medicare - Broker Roll Out Session Invites (Tempe 5) N/A 11/9/2012AZ AZ95102 N/A Medicare - Broker Roll Out Session Invites (Tempe 6) N/A 11/9/2012AZ AZ95106 N/A Medicare - Broker Roll Out Session Invites (Tucson 7) N/A 11/9/2012AZ AZ95108 N/A Medicare - Broker Roll Out Session Invites (Tucson_8) N/A 11/9/2012AZ AZ95110 N/A Medicare - Broker Roll Out Session Invites (Tucson: 10) N/A 11/9/2012AZ AZ95112 N/A Medicare - Broker Roll Out Session Invites (Tucson_9) N/A 11/9/2012CA CA62222-2 N/A 2010 Generic GROUP COB Brochure H0562_EG_2010_0021 12/31/2012CA CA64415-2 6020627 DK:Farm Bureau - MedSupp Preferred Payment Info Form N/A 12/15/2011

CA CA64415-3 6020627Straight Reprint 2010 - Farm Bureau - MedSupp Preferred Payment Info Form N/A 1/1/2012

CA CA64421-2 6020628 Straight Reprint 2010 - MedSupp Automatic Bank Draft Form N/A 1/1/2012CA CA64421-3 6020628 Straight Reprint 2010 - MedSupp Automatic Bank Draft Form N/A 12/15/2012CA CA64421-4 6020628 Straight Reprint 2010 - MedSupp Automatic Bank Draft Form N/A 1/1/2012

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Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateCA CA65559-3 6020814 DK:Individual & Farm Bureau MedSupp Replacement of Coverage Form N/A 7/9/2012

CA CA65559-4 6020814Straight Reprint Individual & Farm Bureau MedSupp Replacement of Coverage Form N/A 7/9/2012

CA CA65570-1 6020820 Straight Reprint - Farm Bureau MedSupp Enrollment Form N/A 1/1/2012

CA CA65882-2 N/A 2011 Summary of Benefits-HH (San Mateo, Solano) (036) - Spanish POD H0562_2011_0100_SPN 12/31/2012

CA CA66124-2 6015479STRAIGHT REPRINT - Individual & Farm Bureau MedSupp Notice of Privacy Practice N/A 1/1/2012

CA CA66126-2 6018981 STRAIGHT REPRINT - MedSupp Broker Attestation for Applications N/A 1/1/2012CA CA66131-2 6020353 REORDER: 2010 Medicare MEDIGAP Policy Brochure N/A 1/1/2011CA CA66131-3 6020353 REORDER: 2010 Medicare MEDIGAP Policy Brochure N/A 1/1/2012CA CA66131-4 6020353 REORDER: 2010 Medicare MEDIGAP Policy Brochure N/A 1/1/2011CA CA66170-5 N/A 2011 CA DP Healthy Discounts Brochure - POD Y0035_2011_0405 (H0562, H5439) 12/31/2012CA CA66230-1 N/A 2011 Amber Call Center Flyer - Spanish H0562_2011_0665_SPN 12/31/2012CA CA66239-1 N/A 2011Nov.Secret Shopper Buckslip-CA(SPN) Y0035_2011_0742_SPN 12/31/2011CA CA66239-2 N/A 2011 Nov.Secret Shopper Buckslip-CA(CHI) Y0035_2011_0742_CHI 12/31/2011CA CA66239-3 N/A 2011Nov. SecretShopperBuckslip-CA Offset Y0035_2011_0742_CHI 12/31/2011CA CA66239-4 N/A 2011Nov.Sec.ShopBuckslip-CA(SPN)Offset Y0035_2011_0742_SPN 12/31/2011CA CA66240-1 N/A 2011 CA HMO Plan Ratings - H0562 (NEW) - Spanish H0562_2011_0794_SPN 12/31/2012CA CA66240-2 N/A 2011 CA HMO Plan Ratings - H0562 (NEW - Chinese) H0562_2011_0794_CHI 12/31/2012CA CA66242-1 N/A 2011 H5439 CA PPO Part C Plan Ratings (NEW) - Spanish H5439_2011_0795_SPN 12/31/2012CA CA66242-2 N/A 2011 H5439 CA PPO Part C Plan Ratings (NEW) - Chinese H5439_2011_0795_CHI 12/31/2012CA CA66258-1 N/A 2011 CA HMO Part D Plan Ratings - H0562 (NEW) - Spanish H0562_2011_0819_SPN 12/31/2012CA CA66258-2 N/A 2011 CA HMO Part D Plan Ratings - H0562 (NEW) - Chinese H0562_2011_0819_CHI 12/31/2012CA CA66259-1 N/A 2011 CA PPO H5439 Part D Plan Ratings (New) - Spanish H5439_2011_0820_SPN 12/31/2012CA CA66259-2 N/A 2011 CA PPO H5439 Part D Plan Ratings (New) - Chinese H5439_2011_0820_CHI 12/31/2012

CA CA66457-2 N/A2011 Medicare ANOC Letter- CA 2010 Healthy Heart to 2011 Healthy Heart (037 to 037) - Chinese H0562_2012_0111_CHI 12/31/2012

CA CA66593-4 6021671 2011 Medicare Chiro/Acu Provider Y0035_2011_0046 (H0562, H5439) 12/21/2012

CA66606-4 6021677 2011 SNP - Amber II Provider Directory - San Diego - SPANISHY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA66618-5 6022176 2011 Medicare Bay Area Provider Directory - CHINESE Y0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA67049-1 N/A Individual MedSupp Broker Attestation for Applications DK N/A 12/15/2011CA CA67055-2 N/A Individual MedSupp Automatic Bank Draft Form DK N/A 4/19/2012CA CA68340-1 N/A DK - MedSupp Dividers N/A 1/1/2012CA CA68340-2 N/A DK - MedSupp Cover Shell N/A 1/1/2012CA CA68340-3 N/A DK - MedSupp Dividers N/A 1/1/2012CA CA68340-4 N/A DK - MedSupp Cover Shell N/A 1/1/2012CA CA71090-1 N/A 2011 Alternate formats disclaimer (6.8 inch width)- CA/AZ/OR SPN/CHI N/A 12/31/2011CA CA72179-7 6023306 2011 CA Long Enrollment Form (model version) - Spanish H5439) 12/31/2012CA CA73107-6 N/A 2011 OOPM EG Letter for PEK BOMs - Plastering Industry Local 66 H0562_EG_2011_0038_A 12/31/2011

CA CA74350-4 6023473 Straight Reprint Flyer, Think GreenY0035_2011_0744 (S5678, H0351, H0562, H5439, H5520, H6815 12/31/2012

CA CA74367-2 6023471 Straight Reprint: 2011 Medicare Group PDP/COB Enrollment Form - NCR S5678_EG_2011_0066 Compliance Approved 11012010 12/1/2011

CA CA76129-1 N/A Amber II In home 2011 lock in - Spanish FlyerH0562_2012_0065_SPN File & Use 08022011 11/9/2012

CA CA76340-1 6024220 12/1/10 REVISED - Farm Bureau MedSupp Outline of Coverage N/A 1/1/2012CA CA77029-1 6024286 2011 Farm Bureau MedSupp Enrollment Form N/A 12/15/2011

CA CA77304-5 6026271 2012 Individual Classic Comprehensive Formulary - SPA - OffsetY0035_2012_0021_A_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA77305-5 6026270 2012 Individual Value Comprehensive Formulary - SPA-OffsetY0035_2012_0021_A_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA77600 N/A Letter, Group Retiree Age-ins 1/2011Y0035_EG_2011_0097 (S5678, H0562, H5439) 11/7/2012

CA77867 6024461 2011 Medicare Silver & Fit Directory H0562_2011_0064 12/31/2012CA77867-1 6024461 2011 Medicare Silver & Fit Directory H0562_2011_0064_SPN 12/31/2012CA77867-2 pdf only 2011 Medicare Silver & Fit Directory - CHINESE H0562_2011_0064_CHI 12/31/2012

CA CA77893 6025463 2012 MAPD Disenrollment Form (LR) Y0035_2012_0346 12/31/2012CA CA77893-1 N/A 2012 MAPD Disenrollment Form (Lead Region) - SPN Y0035_2012_0346_SPN 12/31/2012CA CA77893-2 N/A 2012 MAPD Disenrollment Form (Lead Region) - CHI Y0035_2012_0346_CHI 12/31/2012CA CA78004 6024347 Flyer, 2011 Group Directory ENG N/A 12/31/2012CA CA78004-1 N/A Flyer, 2011 Group Directory Flyer SPN Y0035_EG_2011_0090_SPN 12/31/2011CA CA78004-2 N/A Flyer, 2011 Group Directory Flyer CHI Y0035_EG_2011_0090_CHI 12/31/2011CA CA78004-3 6024618 FLYER: 2011 Group Directory - CA/NE PDP (ENG) S5678_EG_2011_0100 12/31/2011CA CA78004-4 N/A FLYER: 2011 Group Directory - CA/NE PDP (SPN) S5678_EG_2011_0100_SPN 12/31/2011CA CA78004-5 6024618 FLYER: 2011 Group Directory - CA/NE PDP (ENG) S5678_EG_2011_0100 12/31/2011

CA CA78032 N/A Letter, UC Group Retiree Age-ins 1/2011Y0035_EG_2011_0091 (H0562, H5439, S5678) 11/7/2012

CA CA78092 N/A 2011 Med Supp Decision Power Healthy Discounts Flyer N/A 4/19/2012CA CA78218 N/A 2011 Group Med Supp Silver & Fit Flyer N/A 6/8/2011CA CA78220 6024815 2011 Group Med Supp Silver&Fit Brochure N/A 2/15/2012CA CA78222 N/A 2011 Group Med Supp Dental HMO C9 Overview Flyer N/A 12/31/2012

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Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateCA CA78224 N/A 2011 Group Med Supp Vision 5U Overview Flyer N/A 12/31/2012CA CA78308 N/A 2012 Summary of Benefits-Ruby (Kern) 079 H0562_2012_0068 12/31/2012CA CA78308-1 N/A 2012 Summary of Benefits-Ruby (Kern) 079-SPANISH H0562_2012_0068_SPN 12/31/2012

CA CA78316 N/A2012 Summary of Benefits-Ruby Plan 1 (LA, Orange, Riverside, San Bernardino) 083 H0562_2012_0068 12/31/2012

CA CA78316-1 N/A2012 Summary of Benefits-Ruby Plan 1 (LA, Orange, Riverside, San Bernardino) 083-SPANISH H0562_2012_0068_SPN 12/31/2012

CA CA78320 N/A 2012 Summary of Benefits-Ruby (Santa Clara) 089 H0562_2012_0068 12/31/2012CA CA78320-1 N/A 2012 Summary of Benefits-Ruby Plan (Santa Clara) 089-SPANISH H0562_2012_0068_SPN 12/31/2012CA CA78322 N/A 2012 Summary of Benefits-Ruby Plan 2 (San Diego) 040 H0562_2012_0068 12/31/2012CA CA78322-1 N/A 2012 Summary of Benefits-Ruby Plan 2 (San Diego) 040-SPANISH H0562_2012_0068_SPN 12/31/2012CA CA78324 N/A 2012 Summary of Benefits-Ruby (San Joaquin) 088 H0562_2012_0068 12/31/2012

CA CA78324-1 N/A2012 Summary of Benefits- Seniority Plus Ruby (San Joaquin) 088-SPANISH H0562_2012_0068_SPN 12/31/2012

CA CA78326 N/A2012 Summary of Benefits-Ruby (Santa Barbara, Santa Cruz, San Diego) (017) H0562_2012_0068 12/31/2012

CA CA78326-1 N/A2012 Summary of Benefits-Ruby (Santa Barbara, Santa Cruz) (017)-SPANISH H0562_2012_0068_SPN 12/31/2012

CA CA78328 N/A 2012 Summary of Benefits-Ruby HMO Template H0562_2012_0068 12/31/2012CA CA78334 N/A 2012 Summary of Benefits-Green HMO Template H0562_2012_0068 12/31/2012

CA CA78336 N/A

2012 Summary of Benefits-Green (Alameda, Contra Costa, Placer, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Barbarba, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Yolo) 045 H0562_2012_0068 12/31/2012

CA CA78336-1 N/A

2012 Summary of Benefits-Green (Alameda, Contra Costa, Placer, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Barbarba, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Yolo) 045 - SPANISH H0562_2012_0059_SPN 12/31/2012

CA CA78338 N/A2012 Summary of Benefits-Green (Los Angeles, Orange, Riverside, San Bernardino) 044 H0562_2012_0068 12/31/2012

CA CA78338-1 N/A2012 Summary of Benefits-Green (Los Angeles, Orange, Riverside, San Bernardino) 044 - SPANISH H0562_2012_0059_SPN 12/31/2012

CA CA78340 N/A 2012 Summary of Benefits-Violet PPO Template H0562_2012_0068 12/31/2012CA CA78342 N/A 2012 Summary of Benefits-Violet PPO (San Diego) 001 H0562_2012_0068 12/31/2012CA CA78342-1 N/A 2012 Summary of Benefits-Violet PPO (San Diego) 001-SPANISH H5439_2012_0069_SPN 12/31/2012CA CA78344 N/A 2012 Summary of Benefits-Violet PPO (Sacramento) 002 H0562_2012_0068 12/31/2012CA CA78344-1 N/A 2012 Summary of Benefits-Violet PPO (Sacramento) 002-SPANISH H5439_2012_0069_SPN 12/31/2012CA CA78346 N/A 2012 Summary of Benefits-Violet PPO (Contra Costa) 003 H0562_2012_0068 12/31/2012CA CA78346-1 N/A 2012 Summary of Benefits-Violet PPO (Contra Costa) 003-SPANISH H5439_2012_0069_SPN 12/31/2012

CA CA78348 N/A 2012 Summary of Benefits- Amber CHF (Riverside, San Bernardino) 081 H0562_2012_0055 12/21/2012

CA CA78348-1 N/A2012 Summary of Benefits- Amber CHF (Riverside, San Bernardino) 081 SPN H0562_2012_0056_SPN 12/21/2012

CA CA78352 N/A2012 Summary of Benefits-Amber I (Kern, LA, Orange, Riverside, San Bernardino) 055 H0562_2012_0057 12/21/2012

CA CA78352-1 N/A2012 Summary of Benefits-Amber I (Kern, LA, Orange, Riverside, San Bernardino) 055 - SPANISH H0562_2012_0057_SPN 12/21/2012

CA CA78354 N/A

2012 Summary of Benefits-Amber II (Alameda, Contra Costa, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco) 070 H0562_2012_0067 12/21/2012

CA CA78354-1 N/A

2012 Summary of Benefits-Amber II (Alameda, Contra Costa, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco) 070 -SPANISH H0562_2012_0067_SPN 12/21/2012

CA CA78354-2 N/A

2012 Summary of Benefits-Amber II (Alameda, Contra Costa, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco) 070 - CHINESE H0562_2012_0067_CHI 12/21/2012

CA CA78362 N/A 2012 Summary of Benefits-Healthy Heart Template H0562_2012_0055 12/21/2012CA CA78364 N/A 2012 Summary of Benefits-Healthy Heart (Alameda) (068) H0562_2012_0055 12/21/2012CA CA78364-1 N/A 2012 Summary of Benefits-Healthy Heart (Alameda) (068)-SPANISH H0562_2012_0055_SPN 12/21/2012CA CA78368 N/A 2012 Summary of Benefits-Healthy Heart (Contra Costa, Fresno) (011) H0562_2012_0055 12/21/2012

CA CA78368-1 N/A 2012 Summary of Benefits-Healthy Heart (Contra Costa) (011)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78372 N/A2012 Summary of Benefits-Healthy Heart Plan 1 (Los Angeles, Orange, Riverside, San Bernardino) (082) H0562_2012_0055 12/21/2012

CA CA78372-1 N/A2012 Summary of Benefits-Healthy Heart Plan 1 (Los Angeles, Orange, Riverside, San Bernardino) (082)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78378 N/A 2012 Summary of Benefits-Healthy Heart (San Francisco) 009 H0562_2012_0055 12/21/2012CA CA78378-1 N/A 2012 Summary of Benefits-Healthy Heart (San Francisco) 009-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78378-2 N/A 2012 Summary of Benefits-Healthy Heart (San Francisco) 009-CHINESE H0562_2012_0055_CHI 12/21/2012

CA CA78386 N/A2012 Summary of Benefits-Healthy Heart Plan 2 (San Diego, Los Angeles, Orange, Riverside, San Bernardino) (086) H0562_2012_0055 12/21/2012

CA CA78386-1 N/A2012 Summary of Benefits-Healthy Heart Plan 2 (San Diego, Los Angeles, Orange, Riverside, San Bernardino) (086) H0562_2012_0055_SPN 12/21/2012

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CA CA78388 N/A2012 Summary of Benefits-Healthy Heart Plan 1 (Placer, Sacramento) (087) H0562_2012_0055 12/21/2012

CA CA78388-1 N/A2012 Summary of Benefits-Healthy Heart Plan 1 (Placer, Sacramento) (087)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78390 N/A2012 Summary of Benefits-Healthy Heart Plan 2 (Sacramento, Placer) (084) H0562_2012_0055 12/21/2012

CA CA78390-1 N/A2012 Summary of Benefits-Healthy Heart Plan 2 (Sacramento, Placer) (084)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78400 N/A 2012 Summary of Benefits Healthy Heart (San Diego) (012) H0562_2012_0055 12/21/2012CA CA78400-1 N/A 2012 Summary of Benefits Healthy Heart (San Diego) (012)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78406 N/A2012 Summary of Benefits-Healthy Heart (San Mateo, Solano, San Joaquin) (036) H0562_2012_0055 12/21/2012

CA CA78406-1 N/A2012 Summary of Benefits-Healthy Heart (San Mateo, Solano) (036)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78409 N/A 2012 Summary of Benefits-Healthy Heart (Santa Clara) 037 H0562_2012_0055 12/21/2012CA CA78409-1 N/A 2012 Summary of Benefits-Healthy Heart (Santa Clara) 037-SPANISH H0562_2012_0055_SPN 12/21/2012CA CA78411 N/A 2012 Summary of Benefits-Healthy Heart (Sonoma, Stanislaus) (053) H0562_2012_0055 12/21/2012

CA CA78411-1 N/A2012 Summary of Benefits-Healthy Heart (Sonoma, Stanislaus) (053)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78413 N/A 2012 Summary of Benefits-Healthy Heart (Yolo) (039) H0562_2012_0055 12/21/2012CA CA78413-1 N/A 2012 Summary of Benefits-Healthy Heart (Yolo) (039)-SPANISH H0562_2012_0055_SPN 12/21/2012

CA CA78417 N/A2012 Summary of Benefits-Salud Con HN Medicare Advantage (LA, Orange, Riverside, San Bernardino) 085 H0562_2012_0054 12/21/2012

CA CA78417-1 N/A2012 Summary of Benefits-Salud Con HN Medicare Advantage (LA, Orange, Riverside, San Bernardino) 085-SPANISH H0562_2012_0054_SPN 12/21/2012

CA CA78449 6025432 2012 CA Long Enrollment Form ENG DK (model version)Y0035_2012_0078 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA78449-1 6025456 2012 CA Long Enrollment Form SPN DK (model version)Y0035_2012_0078_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA78449-2 6025457 2012 CA Long Enrollment Form CHI DK (model version)Y0035_2012_0078_CHI (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA78449-5 6025432 2012 CA Long Enrollment Form ENG OFFSETY0035_2012_0078 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA78449-6 6025432 2012 CA Long Enrollment Form ENG DK PRINTY0035_2012_0078 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA78449-7 6026173 2012 CA Long Enrollment Form SPN OFFSET Y0035_2012_0078_SPN 12/21/2012CA CA78449-8 6026174 2012 CA Long Enrollment Form CHI OFFSET Y0035_2012_0078_CHI 12/21/2012CA CA78452 N/A 2012 CA Dental Selection Form ENG DK H0562_2012_0236 12/21/2012CA CA78452-1 6025458 2012 CA Dental Selection Form-SPN DK H0562_2012_0236_SPN 12/21/2012CA CA78452-2 6025459 2012 CA Dental Selection Form-CHI DK H0562_2012_0236_CHI 12/21/2012CA CA78452-5 6025873 2012 CA Dental Selection Form ENG Offset H0562_2012_0236 12/21/2012CA CA78452-6 6025873 2012 CA Dental Selection Form ENG Offset H0562_2012_0236 12/21/2012CA CA78452-7 6026176 2012 CA Dental Selection Form-SPN Offset H0562_2012_0236_SPN 12/21/2012CA CA78452-8 6026177 2012 CA Dental Selection Form-CHI Offset H0562_2012_0236_CHI 12/21/2012CA CA78454 6024937 2012 CA Automatic Bank Draft (ABD) Form Y0035_2012_0257 (H0562, H5439) 12/31/2012CA CA78454-1 6025554 2012 CA Automatic Bank Draft (ABD) Form-SPANISH H5439) 12/31/2012CA CA78454-2 6025555 2012 CA Automatic Bank Draft (ABD) Form-CHINESE Y0035_2012_0257_CHI (H0562, H5439) 12/31/2012CA CA78454-5 6026109 2012 CA Automatic Bank Draft (ABD) Form - OFFSET Y0035_2012_0257 (H0562, H5439) 12/31/2012

CA78454-6 6025554 2012 CA Automatic Bank Draft (ABD) Form-SPANISH H5439) 12/31/2012CA78454-7 6025555 2012 CA Automatic Bank Draft (ABD) Form-CHINESE - OFFSET Y0035_2012_0257_CHI (H0562, H5439) 12/31/2012

CA CA78456 6025675 2012 CA Optional Supplemental Benefits Enrollment Form Y0035_2012_0347 (H0562, H5439) 12/31/2012CA CA78456-1 6026340 2012 CA Optional Supplemental Benefits Enrollment Form-SPANISH H5439) 12/31/2012CA CA78456-2 6026341 2012 CA Optional Supplemental Benefits Enrollment Form-CHINESE Y0035_2012_0347_CHI (H0562, H5439) 12/31/2012CA CA78471 N/A 2012 Plan Rate Guide - California H0562 HMO Part D H0562_2012_0485 12/31/2012CA CA78471-1 N/A 2012 Plan Rate Guide - California H0562 HMO Part D-SPANISH H0562_2012_0485_SPN 12/31/2012CA CA78471-2 N/A 2012 Plan Rate Guide - California H0562 HMO Part D-CHINESE H0562_2012_0485_CHI 12/31/2012CA CA78474 N/A 2012 Plan Rate Guide - California H5439 PPO Part D H5439_2012_0487 12/31/2012CA CA78474-1 N/A 2012 Plan Rate Guide - California H5439 PPO Part D-SPANISH H5439_2012_0487_SPN 12/31/2012CA CA78474-2 N/A 2012 Plan Rate Guide - California H5439 PPO Part D-CHINESE H5439_2012_0487_CHI 12/31/2012CA CA78476 N/A 2012 Plan Rate Guide - California H0562 HMO Part C H0562_2012_0484 12/31/2012CA CA78476-1 N/A 2012 Plan Rate Guide - California H0562 HMO Part C-SPANISH H0562_2012_0484_SPN 12/31/2012CA CA78476-2 N/A 2012 Plan Rate Guide - California H0562 HMO Part C-CHINESE H0562_2012_0484_CHI 12/31/2012CA CA78480 N/A 2012 Plan Rate Guide - California H5439 PPO Part C H5439_2012_0486 12/31/2012CA CA78480-1 N/A 2012 Plan Rate Guide - California H5439 PPO Part C-SPANISH H5439_2012_0486_SPN 12/31/2012CA CA78480-2 N/A 2012 Plan Rate Guide - California H5439 PPO Part C-CHINESE H5439_2012_0486_CHI 12/31/2012

CA CA78484 6025450 2012 CA Short Enrollment Form Y0035_2012_0077 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA78484-1 6025556 2012 CA Short Enrollment Form-SPANISH Y0035_2012_0077_SPN (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA78484-2 6025557 2012 CA Short Enrollment Form -CHINESEY0035_2012_0077_CHI (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA78520 6024934 2012 PLAN 2 - L.A. Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

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CA78522 6024976 2012 San Diego - HMO Ruby 1 Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78542 6024978 2012 San Diego - HMO Green & Ruby 3 Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78544 6024933 2012 Santa Barbara Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78546 6024941 2012 PPO - San Diego Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78564 6024942 2012 PPO - Contra Costa/Sacramento Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78564-3 6024942 2012 PPO - Contra Costa/Sacramento Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78564-4 6024942 2012 PPO - Contra Costa/Sacramento Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA78564-5 6024942 2012 PPO - Contra Costa/Sacramento Provider Directory - PODY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA78587 N/A 2012 Scope of Sales Appointment Confirmation Form N/A 12/31/2012CA CA78587-1 N/A 2012 Scope of Sales Appointment Confirmation Form - SPANISH N/A 12/31/2012CA CA78587-2 N/A 2012 Scope of Sales Appointment Confirmation Form - CHINESE N/A 12/31/2012

CA CA78687 N/A 2012 Lead Region Post Enroll Ltr - TEMPLATE

Y0035_2012_0089 (H0351, H0562, H5439, H5520, H6815) File & Use 08032011 12/1/2012

CA CA78746 N/A 2012 CA DP Healthy Discounts Brochure Y0035_2012_0029 12/21/2012CA CA78746-1 N/A 2012 CA DP Healthy Discounts Brochure-SPANISH Y0035_2012_0029_SPN 12/21/2012CA CA78746-2 N/A 2012 CA DP Healthy Discounts Brochure-CHINESE Y0035_2012_0029_CHI 12/21/2012CA CA78821 N/A 2011 Medicare Group Med Supp Outline of Coverage (complete) N/A 9/5/2012CA CA78821-1 N/A 2011 Medicare Group Med Supp Outline of Coverage (no plans) N/A 9/5/2012CA CA78821-10 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan L) N/A 9/5/2012CA CA78821-2 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan A) N/A 9/5/2012CA CA78821-3 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan B) N/A 9/5/2012CA CA78821-4 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan C) N/A 9/5/2012CA CA78821-5 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan D) N/A 9/5/2012CA CA78821-6 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan F) N/A 9/5/2012CA CA78821-7 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan F+) N/A 9/5/2012CA CA78821-8 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan G) N/A 9/5/2012CA CA78821-9 N/A 2011 Medicare Group Med Supp Outline of Coverage (Plan K) N/A 9/5/2012

CA CA78987 6024929 2012 SNP Amber I & II - Orange Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA78991 6024946 2012 SALUD - Los Angeles Provider Directory - COMBOY0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA78991-3 6026236 REVISED 2012 SALUD - Los Angeles Provider DirectoryY0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79037 N/A 2011 Group MedSupp Post-Enrollment Letter N/A 2/1/2012CA CA79121 N/A 2011 Group Med Supp Dental PPO CA Overview Flyer N/A 12/31/2012CA CA79145 N/A 5/1/11 DK - Individual MedSupp Outline of Coverage N/A 12/15/2011CA CA79147 N/A 5/1/11 DK - Individual MedSupp Guarantee Issue Guide N/A 12/15/2011CA CA79149 N/A 5/1/11 DK - Farm Bureau MedSupp Outline of Coverage N/A 12/15/2011CA CA79151 N/A 5/1/11 DK - Farm Bureau MedSupp Guarantee Issue Guide N/A 12/15/2011CA CA79172 N/A 5/1/11 DK - Ind/FB/Group MedSupp Notice of Privacy Practice N/A 4/19/2012

CA79182 6024975 2012 San Diego - HMO Healthy Heart Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA79184 6024925 2012 SNP Amber I & II - Kern Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79186 6024945 2012 SALUD - Inland Empire Provider Directory - COMBOY0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79186-3 6024945 2012 SALUD - Inland Empire Provider Directory - COMBOY0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79186-6 6026237 REVISED 2012 SALUD - Inland Empire Provider Directory Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA79343 6024930 2012 Bay Area Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA79343-3 N/A 2012 Bay Area Provider Directory - CHINESE VersionY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA79364 6023943 2011 Group Medicare PPO Coord of Benefits Brochure N/A 12/31/2012CA CA79366 6024263 2011 Group Medicare POS Coordination of Benefits Brochure N/A 12/31/2012CA CA79377 N/A PDP Upsell to HN Amber II T1 2010/11 Y0035_2011_1320 (H0562, S5678) 11/7/2012CA CA79377-1 N/A PDP Upsell to HN Amber II T1 2010/11 Spanish S5678) 11/7/2012CA CA79431 N/A 2012 Amber SNP Attestation Verification Form N/A 12/21/2012CA CA79433 N/A 2012 CA Amber PreQual Assess Form ENG DK H0562_2012_0088 12/21/2012CA CA79433-1 N/A 2012 CA Amber PreQual Assess Form SPN DK H0562_2012_0088_SPN 12/21/2012CA CA79433-2 N/A 2012 CA Amber PreQual Assess Form CHI DK H0562_2012_0088_CHI 12/21/2012CA CA79433-3 6025840 2012 CA Amber PreQual Assess Form ENG OFFSET H0562_2012_0088 12/21/2012CA CA79433-4 6026225 2012 CA Amber PreQual Assess Form SPN OFFSET H0562_2012_0088_SPN 12/21/2012CA CA79433-5 6026224 2012 CA Amber PreQual Assess Form CHI OFFSET H0562_2012_0088_CHI 12/21/2012

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Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateCA CA79613 N/A Age-In Hybrid DM Touch #1 - Postcard N/A 11/9/2012CA CA79615 N/A 2011 Group Med Supp Vision 5V Overview Flyer N/A 12/31/2012CA CA79616 N/A Age-In Hybrid DM Touch #2 - #10 Pack N/A 11/9/2012CA CA79628 N/A Age-In Hybrid DM Touch #3 - 6x9 Pack N/A 11/9/2012CA CA79632 N/A Farm Bureau MedSupp Intro Letter - DK N/A 4/19/2012CA CA79637 N/A Age-In Hybrid DM Touch #4 - #10 Pack N/A 11/9/2012

CA CA79651 6025550 2012 Medicare Group Seniority Plus (HMO) Enrollment Form H0562_EG_2012_0020 Compliance Approved 09012011 12/1/2012

CA CA79653 N/A 2012 SP/Salud HMO Medical/Dental Enroll Form TEMPLATEH0562_EG_2012_0017 Compliance Approved 09062011 12/1/2012

CA CA79660 6025732 2012 Medicare Group Salud Enrollment Form -ENGH0562_EG_2012_0020 Compliance Approved 09012011 12/1/2012

CA79662 6024943 2012 PLAN 1 - Inland Empire Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA79665 6025715 2012 Group Salud HMO/Dental Enrollment Form - ENGH0562_EG_2012_0017 Compliance Approved 09062011 12/1/2012

CA CA79673 6025607 2012 Medicare GROUP PDP Disenrollment Form TemplateS5678_EG_2012_0036 Compliance Approved 10182011 12/1/2012

CA CA79681 6025600 2012 EG COB Plus PDP Enrollment FormS5678_EG_2012_0019 Compliance Approved 09132011 12/1/2012

CA CA79681-1 6025600 2012 EG COB Plus PDP Enrollment FormS5678_EG_2012_0019 Compliance Approved 09132012 12/1/2012

CA CA79684 6025034 2012 UC Medicare FolderH0562_EG_2012_0009 Compliance Approved 07282011 12/1/2012

CA CA79695 N/A Tool Kit - 2012 Multi Seminar Flyer template for Print and Web

Y0035_2011_1272 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use08092011 11/9/2012

CA CA79697 6025740 2012 Generic GROUP Senority Plus BrochureH0562_EG_2012_0015 Compliance Approved 09212011 12/1/2012

CA CA79697-1 6025740 2012 Generic GROUP Senority Plus BrochureH0562_EG_2012_0015 Compliance Approved 09212012 12/2/2012

CA CA79703 6025066 2012 UC Seniority Plus Overview BrochureH0562_EG_2012_0042 Compliance Approved 10252011 12/1/2012

CA CA79705 6025192 2012 UC COB BrochureH0562_EG_2012_0029 Compliance Approved 10112011 12/1/2012

CA79717 6024944 2012 PLAN 1- Los Angeles Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA79728 N/A 2012 Medicare Group Dental 8R Overview FlyerH0562_EG_2012_0043 Compliance Approved 10082011 12/1/2012

CA CA79736 N/A 2012 County of San Bernardino Transportation FlyerH0562_EG_2011_0128 Compliance Approved 09142011 12/1/2012

CA CA79738 N/A 2012 Group Salud Transportation Flyer H0562_EG_2011_0129 Compliance Approved 09142011 12/1/2012

CA CA79754 6024926 2012 SNP Amber I & II - Inland Empire Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79754-3 6024926 2012 SNP Amber I & II - Inland Empire Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79756 6024928 2012 SNP Amber II - San Diego Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA79758 6024924 2012 SNP Amber II - No. CA Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA79797 6024935 2012 Orange County Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA79808 6024931 2012 Central Valley Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA79808-3 N/A 2012 Central Valley Provider Directory - InsertY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA79810 6024932 2012 Inland Empire Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA79810-3 6024932 2012 Inland Empire Provider Directory - COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA79820 N/A 2012 SSC CA Questionnaire ENGLISH Y0035_2012_0011 12/21/2012CA CA79820-1 N/A 2012 SSC CA Questionnaire-SPANISH Y0035_2012_0011_SPN 12/21/2012CA CA79820-2 N/A 2012 SSC CA Questionnaire-CHINESE Y0035_2012_0011_CHI 12/21/2012CA CA79820-3 6026219 2012 SSC CA Questionnaire ENG OFFSET Y0035_2012_0011 12/21/2012CA CA79820-4 6026220 2012 SSC CA Questionnaire-SPN OFFSET Y0035_2012_0011_SPN 12/21/2012CA CA79820-5 6026221 2012 SSC CA Questionnaire-CHI OFFSET Y0035_2012_0011_CHI 12/21/2012CA CA79822 N/A 2012 Amber Call Center Flyer H0562_2012_0086 12/21/2012CA CA79822-1 N/A 2012 Amber Call Center Flyer-SPANISH H0562_2012_0086_SPN 12/21/2012CA CA79824 N/A 2012 HMO Preventative Comprehensive Dental Brochure N/A 12/31/2012

CA CA79826 N/A 2012 CA Pre-Enrollment Letter Y0035_2012_0003 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA79826-1 N/A 2012 CA Pre-Enrollment Letter-SPANISHY0035_2012_0003_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

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CA CA79826-2 N/A 2012 CA Pre-Enrollment Letter-CHINESE Y0035_2012_0003_SHI (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA79847 N/A 2012 CA How to Enroll (4 easy ways to enroll) Y0035_2012_0002 12/21/2012CA CA79847-1 N/A 2012 CA How to Enroll (4 easy ways to enroll)-SPANISH Y0035_2012_0002_SPN 12/21/2012CA CA79847-2 N/A 2012 CA How to Enroll (4 easy ways to enroll)-CHINESE Y0035_2012_0002_CHI 12/21/2012CA CA79871 6024873 2011 Healthy Heart Take-One AEP (Los Angeles) H0562_2012_0237 12/31/2012CA CA79873 6024874 2011 Health Heart Take One AEP (North) H0562_2012_0237 12/31/2012CA CA79877 6024875 2011 Healthy Heart Take One AEP (Sacramento) H0562_2012_0237 12/31/2012CA CA79881 6024876 2011 Healthy Heart Take One AEP (San Diego) H0562_2012_0237 12/31/2012CA CA79885 6024877 2012 Healthy Heart Take One Lock In (Los Angeles) H0562_2012_0237 12/31/2012CA CA79885-2 6024877 Reprint - 2012 Healthy Heart Take One Lock In (Los Angeles) H0562_2012_0237 12/31/2012CA CA79887 6024878 2012 Healthy Heart Take One Lock In (North) H0562_2012_0237 12/31/2012CA CA79890 6024881 2012 Amber II Take-One Brochure Lock-In H0562_2012_0238 12/31/2012CA CA79890-1 6024884 2012 Amber II Take-One Brochure for 2011 Lock-In - Spanish H0562_2012_0238_SPN 12/31/2012CA CA79890-10 6024881 2012 Amber II Take-One Brochure Lock-In H0562_2012_0238 12/31/2012CA CA79890-2 6024887 2012 Amber II Take-One Brochure for 2011 Lock-In - Chinese H0562_2012_0238_CHI 12/31/2012CA CA79890-3 6024888 2012 Amber II Take-One Brochure for 2011 Lock-In - Russian H0562_2012_0238_RUS 12/31/2012CA CA79890-7 6024884 Reprint - 2012 Amber II Take-One Brochure for 2011 Spanish H0562_2012_0238_SPN 12/31/2012CA CA79890-9 6024884 REPRINT - 2012 Amber II Take-One Brochure for 2011 H0562_2012_0238 12/31/2012CA CA79893 6024889 2011 Medicare Salud Take-One AEP H0562_2012_0096 12/31/2012CA CA79893-1 6025816 2011 Medicare Salud Take-One AEP - Spanish H0562_2012_0096_SPN 12/31/2012CA CA79901 6024872 2012 Medicare Salud Take-One Lock-In (English) H0562_2012_0096 12/31/2012CA CA79901-1 6024871 2012 Medicare Salud Take-One Lock-In (Spanish) H0562_2012_0096_SPN 12/31/2012CA CA79901-2 6024871 CORRECTED-2012 Medicare Salud Take-One Lock-In (Spanish) H0562_2012_0096_SPN 12/31/2012CA CA79907 6024880 2012 Healthy Heart Take One Lock In (San Diego) H0562_2012_0237 12/31/2012CA CA79909 6024879 2012 Healthy Heart Take One Lock In (Sacramento) H0562_2012_0237 12/31/2012CA CA79909-1 6024879 2012 Healthy Heart Take One Lock In (Sacramento) H0562_2012_0237 12/31/2012

CA CA79913 N/A2012 Additional Information - Amber I - (055-Kern, LA, Orange, Riverside, San Bernardino) Y0035_2012_0361 12/21/2012

CA CA79913-1 N/A2012 Additional Information - Amber I - (055-Kern, LA, Orange, Riverside, San Bernardino) -SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79915 N/A2012 Additional Information - Amber II - (070-Alameda, Contra Costa, Kern,LA, Orange, Riverside, San Bernardino, San Diego, San Francisco) Y0035_2012_0361 12/21/2012

CA CA79915-1 N/A

2012 Additional Information - Amber II - (070-Alameda, Contra Costa, Kern,LA, Orange, Riverside, San Bernardino, San Diego, San Francisco)-SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79917 N/A2012 Additional Information - Amber CHF (Chronic) - (081-Riverside, San Bernardino) Y0035_2012_0361 12/21/2012

CA CA79917-1 N/A2012 Additional Information - Amber CHF (Chronic) - (081-Riverside, San Bernardino)-SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79919 N/A

2012 Additional Information - Green (HMO) - 045 Alameda, Contra Costa, Placer, Sacramento, San Mateo, San Francisco, San Joaquin, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Yolo H0562_2012_0406 12/15/2012

CA CA79919-1 N/A

2012 Additional Information - Green (HMO) - 045 Alameda, Contra Costa, Placer, Sacramento, San Mateo, San Francisco, San Joaquin, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Yolo-SPANISH

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA CA79921 N/A2012 Additional Information - Green (HMO) - (044LA, Orange, Riverside, San Bernardino) H0562_2012_0406 12/15/2012

CA CA79921-1 N/A2012 Additional Information - Green (HMO) - (044LA, Orange, Riverside, San Bernardino)-SPANISH

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA CA79923 N/A

2012 Additional Information - Healthy Heart - San Francisco (009), Contra Costa, Fresno (011), San Joaquin, San Mateo, Solano (036), Santa Clara (037), Yolo (039), Sonoma, Stanislaus (053), Alameda (068), Placer, Sacramento Plan 1 (087), Los Angeles, Oran Y0035_2012_0361 12/21/2012

CA CA79923-1 N/A2012 Additional Information - Healthy Heart (009, 011, 068, 036, 037, 039, 053, 084, 087)SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79923-2 N/A2012 Additional Information - Healthy Heart (009, 011, 068, 036, 037, 039, 053, 084, 087)-CHINESE Y0035_2012_0361_CHI 12/21/2012

CA CA79927 N/A2012 Additional Information - Ruby - San Diego, Santa Barbara, Santa Cruz (017) H0562_2012_0406 12/15/2012

CA CA79927-1 N/A

2012 Additional Information - Ruby San Diego (040), Santa Barbara, Santa Cruz (017), Kern (079), Los Angeles, Orange, Riverside, San Bernardino (083), San Diego (086)-SPANISH

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA CA79929 N/A 2012 Additional Information - Healthy Heart - San Diego (012) Y0035_2012_0361 12/21/2012CA CA79929-1 N/A 2012 Additional Information - Healthy Heart (082, 012)-SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79935 N/A2012 Additional Information - Salud con Health Net Medicare Advantage - (085-LA, Orange, Riverside, San Bernardino) Y0035_2012_0361 12/21/2012

CA CA79935-1 N/A2012 Additional Information - Salud con Health Net Medicare Advantage - (085-LA, Orange, Riverside, San Bernardino)-SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA79937 N/A 2012 Additional Information - Violet (PPO) - San Diego (001) H0562_2012_0406 12/15/2012CA CA79937-1 N/A 2012 Additional Information - Violet (PPO) - (San Diego)-SPANISH H5439) 12/31/2012

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CA CA79943 N/A2012 Additional Information - Violet (PPO)- Contra Costa (003) and Sacramento (002) H0562_2012_0406 12/15/2012

CA CA79943-1 N/A2012 Additional Information - Violet (PPO)- Sacramento (002), Contra Costa (003)-SPANISH

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA CA80062 N/A 2011 Nov. Buckslip (MBR Post Enroll LTR)-CA Y0035_2011_0742 12/31/2011CA CA80081 6024842 2011 Medicare MEDIGAP Policy Brochure N/A 1/17/2012CA CA80081-2 6024842 2011 Medicare MEDIGAP Policy Brochure N/A 2/4/2012CA CA80081-3 6024842 2011 Medicare MEDIGAP Policy Brochure N/A 2/4/2012

CA80198 6024936 2012 San Diego HMO Provider Directory - GROUP Only- COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA80198-3 N/A 2012 CHINESE San Diego HMO Provider Directory - GROUP Only Y0035_2012_0301_CHI 12/21/2012

CA CA80200 6024923 2012 SNP Amber (CHF) Provider Directory (SCC)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA80202 6024927 2012 SNP Amber I & II - L.A. Provider Directory (SDE)Y0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA80251 6024961 2011 Medicare NCQA Mailer Y0035_2011_1366 12/31/2012CA CA80251-1 6024961 Straight Reprint- 2011 Medicare NCQA Mailer Y0035_2011_1366 12/31/2012

CA CA80412-1 N/A 2012 Appeals & Grievances and Part D Formulary Exceptions Flyer - SPN Y0035_2012_0012_SPN 12/31/2012

CA CA80412-2 N/A 2012 Appeals & Grievances and Part D Formulary Exceptions Flyer - CHI Y0035_2012_0012_CHI 12/31/2012CA CA80614 6024983 2012 HMO Dental Directory H0562_2012_0074 12/21/2012CA CA80614-3 6024983 2012 HMO Dental Directory H0562_2012_0074 12/21/2012CA CA80617 6024984 2012 PPO Dental No. CA Directory Y0035_2012_0076 (H0562, H5439) 12/21/2012CA CA80619 6024985 2012 PPO Dental - LA Directory Y0035_2012_0076 (H0562, H5439) 12/21/2012CA CA80621 6024977 2012 PPO Dental - So. CA Directory Y0035_2012_0076 (H0562, H5439) 12/21/2012CA CA80623 6024979 2012 Chiro/Acu. Directory Y0035_2012_0081 (H0562, H5439) 12/21/2012CA CA80625 6024980 2012 Vision Directory Y0035_2012_0075 (H0562, H5439) 12/21/2012CA CA80628 6024981 2012 MHN Directory Y0035_2012_0082 (H0562, H5439) 12/21/2012CA CA80630 6024982 2012 Silver&Fit Directory Y0035_2012_0319 (H0562, H5439) 12/21/2012CA CA80694 N/A 2012 Medicare Universal Claim Form Y0035_2012_0090 12/21/2012CA CA80694-2 N/A 2012 Medicare Universal Claim Form - SPN Y0035_2012_0090_SPN 12/21/2012CA CA80694-3 N/A 2012 Medicare Universal Claim Form - SPN Y0035_2012_0090_SPN 12/21/2012CA CA80696 N/A 2012 Medicare Foreign Claims Questionnaire Y0035_2012_0071 12/21/2012CA CA80696-2 N/A 2012 Medicare Foreign Claims Questionnaire - SPN Y0035_2012_0071_SPN 12/21/2012CA CA80696-3 N/A 2012 Medicare Foreign Claims Questionnaire - SPN Y0035_2012_0071_SPN 12/21/2012CA CA80777 N/A 2011 Individual MedSupp Intro Letter N/A 7/1/2012CA CA80803 6024994 2011 Individual Med Supp Denal Selection Form N/A 2/29/2012

CA CA80967 6025015 2012 Medicare Group Directory Request Card H0562_EG_2012_0017 Compliance Approved 09062011 12/1/2012

CA CA80982 6025056 2012 Statements of Understanding Sales Appt Form (CA & OR only)Y0035_2012_0063 (H0562, H5439, H5520, H6815) 12/31/2012

CA CA80982-1 N/A 2012 Statements of Understanding Sales Appt Form (CA & OR only) - DKY0035_2012_0063 (H0562, H5439, H5520, H6815) 12/31/2012

CA CA80982-2 N/A 2012 Statements of Understanding Sales Appt Form (CA & OR only) - DKY0035_2012_0063 (H0562, H5439, H5520, H6815) 12/31/2012

CA CA80982-3 6025056 2012 Statements of Understanding Sales Appt Form (CA & OR only)Y0035_2012_0063 (H0562, H5439, H5520, H6815) 12/31/2012

CA CA80982-4 60259002012 Statements of Understanding Sales Appt Form (CA & OR only) OFFSET - SPANISH

Y0035_2012_0063_SPN (H0562, H5439, H5520, H6815) 12/31/2012

CA CA80982-5 60259012012 Statements of Understanding Sales Appt Form (CA & OR only) OFFSET - CHINESE

Y0035_2012_0063_CHI (H0562, H5439, H5520, H6815) 12/31/2012



CA CA80984 N/A 2012 Statements of Understanding Sales Events (All Regions)Y0035_2012_0062 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA80984-1 N/A 2012 Statements of Understanding Sales Events (All Regions)Y0035_2012_0062 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA80984-2 N/A 2012 Statements of Understanding Sales Events (All Regions)-SPANISHY0035_2012_0062_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA80984-3 N/A 2012 Statements of Understanding Sales Events (All Regions)-CHINESEY0035_2012_0062_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA80984-4 6026475 2012 Statements of Understanding Sales Events (All Regions)-SPN OffsetY0035_2012_0062_A_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/21/2012

CA CA80984-5 6026476 2012 Statements of Understanding Sales Events (All Regions)-CHI OffsetY0035_2012_0062_A_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 12/21/2012

CA CA80984-6 6026477 2012 Statements of Understanding Sales Events (All Regions) ENG OffsetY0035_2012_0062_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/21/2012

CA CA81323 N/A Tool Kit - 2012 Meeting Poster (Customizable)Y0035_2012_0016 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

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CA CA81330 N/A Tool Kit 2012 Seminar Poster

Y0035_2012_0017 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use 08032011 11/8/2012

CA CA81518 6025598 2012 DK Pre Enroll Cover Shell - MAPD/PDP Y0035_2012_0013 12/31/2012CA CA81519 6025599 2012 DK Pre Enroll Divider Shell - MAPD/PDP Y0035_2012_0013 12/31/2012CA CA81520 N/A 2012 DK Pre Enroll Table of Contents (TOC) - MAPD/PDP Y0035_2012_0013 12/31/2012

CA CA81741 N/A 2011 Medicare Mailings to Come Mailer (All regions)Y0035_2012_0027 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA81741-1 6025595 2011 Medicare Mailings to Come Mailer (PDP)Y0035_2012_0027 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82037 N/A 2012 About Health Net/Important Dates/Terms & Definitions Flyer Y0035_2012_0014 12/21/2012

CA CA82037-1 N/A2012 About Health Net/Important Dates/Terms & Definitions Flyer-SPANISH

Y0035_2012_0014_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82037-2 N/A2012 About Health Net/Important Dates/Terms & Definitions Flyer-CHINESE

Y0035_2012_0014_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82039 6025216 2012 Silver & Fit Prospect Flyer Y0035_2012_0348 (H0562, H5439) 12/31/2012CA CA82039-2 N/A 2012 Silver & Fit Prospect Flyer-Chinese Y0035_2012_0348_CHI (H0562, H5439) 12/31/2012CA CA82039-3 6026068 2012 Silver & Fit Prospect Flyer-Color Y0035_2012_0348 (H0562, H5439) 12/1/2012

CA CA82050 6025215 2012 CA Post Enrollment LetterY0035_2012_0089 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA82050-1 N/A 2012 CA Post Enrollment Letter-SPANISH Y0035_2012_0089_SPN 12/21/2012CA CA82050-2 N/A 2012 CA Post Enrollment Letter-CHINESE Y0035_2012_0089_CHI 12/21/2012

CA CA82392 N/A

2012 Medicare ANOC Letter- CA 2011 Seniority Plus Green to 2012 Seniority Plus Green (045 to 045)Alameda, CC, Placer, Sac,S. Fran, S. Joaq, S. Mateo, S. Barb,S.Clara,S.Cruz,Solano,Sonoma, Stanislaus,Yolo H0562_2012_0115 12/31/2012

CA CA82392-1 N/A

2012 Medicare ANOC Letter- CA 2011 Seniority Plus Green to 2012 Seniority Plus Green (045 to 045)Alameda, CC, Placer, Sac,S. Fran, S. Joaq, S. Mateo, S. Barb,S.Clara,S.Cruz,Solano,Sonoma, Stanislaus,Yolo-SPANISH H0562_2012_0115_SPN 12/31/2012

CA CA82394 N/A2012 Medicare ANOC Letter - CA 2011 Seniority Plus Green to 2012 Seniority Plus Green (044 to 044) LA, OC, River,S. Bernd,S. Diego,Kern H0562_2012_0114 12/31/2012

CA CA82394-1 N/A

2012 Medicare ANOC Letter - CA 2011 Seniority Plus Green to 2012 Seniority Plus Green (044 to 044) LA, OC, River,S. Bernd,S. Diego,Kern-SPANISH H0562_2012_0114_SPN 12/31/2012

CA CA82398 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 1 to 2012 Seniority Plus Ruby Plan 1 (083 to 083) LA, OC, River, SBern H0562_2012_0123 12/31/2012

CA CA82398-1 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 1 to 2012 Seniority Plus Ruby Plan 1 (083 to 083) LA, OC, River, SBern-SPANISH H0562_2012_0123_SPN 12/31/2012

CA CA82401 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby to 2012 Seniority Plus Ruby (017 to 017)S. Barbara, S. Cruz ,S. Diego H0562_2012_0109 12/31/2012

CA CA82401-1 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby to 2012 Seniority Plus Ruby (017 to 017)S. Barbara, S. Cruz ,S. Diego-SPANISH H0562_2012_0109_SPN 12/31/2012

CA CA82403 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 2 to 2012 Seniority Plus Ruby Plan 2 (040 to 040) San Diego H0562_2012_0113 12/31/2012

CA CA82403-1 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 2 to 2012 Seniority Plus Ruby Plan 2 (040 to 040) San Diego-SPANISH H0562_2012_0113_SPN 12/31/2012

CA CA82405 N/A2012Medicare ANOC Letter- CA 2011 Net Seniority Plus Ruby to 2012 Seniority Plus Ruby (079 to 079) Kern H0562_2012_0120 12/31/2012

CA CA82405-1 N/A2012Medicare ANOC Letter- CA 2011 Seniority Plus Ruby to 2012 Seniority Plus Ruby (079 to 079) Kern-SPANISH H0562_2012_0120_SPN 12/31/2012

CA CA82407 N/A2012 Medicare ANOC Ltter- CA 2011 Seniority Plus Amber I to 2012 Seniority Plus Amber I (055 to 055)Kern, LA, OC, River, SBern H0562_2012_0117 12/31/2012

CA CA82407-1 N/A2012 Medicare ANOC Ltter- CA 2011 Seniority Plus Amber I to 2012 Seniority Plus Amber I (055 to 055)Kern, LA, OC, River, SBern-SPANISH H0562_2012_0117_SPN 12/31/2012

CA CA82409 N/A

2012 Medicare ANOC Letter - CA 2011 Seniority Plus Amber II to 2012 Seniority Plus Amber II (070 to 070) Alameda, CC, Kern, LA, OC, River, S.Bern, S. Diego, S.Fran H0562_2012_0119 12/31/2012

CA CA82409-1 N/A

2012 Medicare ANOC Letter - CA 2011 Seniority Plus Amber II to 2012 Seniority Plus Amber II (070 to 070) Alameda, CC, Kern, LA, OC, River, S.Bern, S. Diego, S.Fran-SPANISH H0562_2012_0119_SPN 12/31/2012

CA CA82411 N/A2012 Medicare ANOC Letter - CA 2011 Seniority Plus Amber CHF to 2012 Seniority Plus Amber CHF (081-081) Riverside, S. Bernd. H0562_2012_0121 12/31/2012

CA CA82411-1 N/A2012 Medicare ANOC Letter - CA 2011 Seniority Plus Amber CHF to 2012 Seniority Plus Amber CHF (081-081) Riverside, S. Bernd.-SPANISH H0562_2012_0121_SPN 12/31/2012

CA CA82413 N/A2012 Medicare ANOC Letter - CA 2011 Healthy Heart to 2012 Healthy Heart (009 to 009) San Francisco H0562_2012_0106 12/31/2012

CA CA82413-1 N/A2012 Medicare ANOC Letter - CA 2011 Healthy Heart to 2012 Healthy Heart (009 to 009) San Francisco-SPANISH H0562_2012_0106_SPN 12/31/2012

CA CA82413-2 N/A2012 Medicare ANOC Letter - CA 2011 Healthy Heart to 2012 Healthy Heart (009 to 009) San Francisco-CHINESE H0562_2012_0106_SPN 12/31/2012

CA CA82415 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart 2 to 2012 Healthy Heart Plan 2 (084 to 084)Placer, Sacramento H0562_2012_0124 12/31/2012

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CA CA82415-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart 2 to 2012 Healthy Heart Plan 2 (084 to 084)Placer, Sacramento-SPANISH H0562_2012_0124_SPN 12/31/2012

CA CA82420 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (011 to 011)Contra Costa, Fresno H0562_2012_0107 12/31/2012

CA CA82420-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (011 to 011)Contra Costa, Fresno-SPANISH H0562_2012_0107_SPN 12/31/2012

CA CA82422 N/A2012 Medicare ANOC Letter-CA 2011 Healthy Heart to 2012 Healthy Heart (012 to 012) San Diego H0562_2012_0108 12/31/2012

CA CA82422-1 N/A2012 Medicare ANOC Letter-CA 2011 Healthy Heart to 2012 Healthy Heart (012 to 012) San Diego-SPANISH H0562_2012_0108_SPN 12/31/2012

CA CA82424 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (036 to 036) San Joaquin, San Mateo, Solano H0562_2012_0110 12/31/2012

CA CA82424-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (036 to 036) San Joaquin, San Mateo, Solano-SPANISH H0562_2012_0110_SPN 12/31/2012

CA CA82427 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (037 to 037)Santa Clara H0562_2012_0111 12/31/2012

CA CA82427-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (037 to 037)Santa Clara-SPANISH H0562_2012_0111_SPN 12/31/2012

CA CA82429 N/A2012Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (039 to 039) Yolo H0562_2012_0112 12/31/2012

CA CA82429-1 N/A2012Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (039 to 039) Yolo-SPANISH H0562_2012_0112_SPN 12/31/2012

CA CA82434 6025242 Fraud, Waste, & Abuse Brochure N/A 12/31/2012CA CA82436 6025243 BRO: Medicare Compliance Program N/A 12/31/2012

CA CA82438 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (053 to 053)Sonoma, Stanislaus H0562_2012_0116 12/31/2012

CA CA82438-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart to 2012 Healthy Heart (053 to 053)Sonoma, Stanislaus-SPANISH H0562_2012_0116_SPN 12/31/2012

CA CA82442 N/A2012 Medicare ANOC Letter- CA 2011Healthy Heart to 2012 Healthy Heart (068 to 068) Alameda H0562_2012_0118 12/31/2012

CA CA82442-1 N/A2012 Medicare ANOC Letter- CA 2011Healthy Heart to 2012 Healthy Heart (068 to 068) Alameda-SPANISH H0562_2012_0118_SPN 12/31/2012

CA CA82444 N/A2012 Medicare ANOC Letter -CA 2011 Healthy Heart Plan 1 to 2012 Healthy Heart Plan 1 (082 to 082) LA, OC, River, S. Bern H0562_2012_0122 12/31/2012

CA CA82444-1 N/A2012 Medicare ANOC Letter -CA 2011 Healthy Heart Plan 1 to 2012 Healthy Heart Plan 1 (082 to 082) LA, OC, River, S. Bern-SPANISH H0562_2012_0122_SPN 12/31/2012

CA CA82446 N/A2012 Medicare ANOC Letter - CA 2011 Salud to 2012 Salud (085 to 085) LA, OC, River, S.Bern H0562_2012_0125 12/31/2012

CA CA82446-1 N/A2012 Medicare ANOC Letter - CA 2011 Salud to 2012 Salud (085 to 085) LA, OC, River, S.Bern-SPANISH H0562_2012_0125_SPN 12/31/2012

CA CA82448 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (001 to 001) San Diego H5439_2012_0130 12/31/2012

CA CA82448-1 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (001 to 001) San Diego-SPANISH H5439_2012_0130_SPN 12/31/2012

CA CA82450 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (002 to 002) Sacramento H5439_2012_0131 12/31/2012

CA CA82450-1 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (002 to 002) Sacramento-SPANISH H5439_2012_0131_SPN 12/31/2012

CA CA82452 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (003 to 003) Contra Costa H5439_2012_0132 12/31/2012

CA CA82452-1 N/A2012 Medicare ANOC Letter- CA 2011 Violet to 2012 Violet (003 to 003) Contra Costa-SPANISH H5439_2012_0132_SPN 12/31/2012

CA CA82456 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 1 to 2012 Healthy Heart Plan 2 (086 to 086)LA, OC, RV, SB, S. Diego H0562_2012_0126 12/31/2012

CA CA82456-1 N/A2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 1 to 2012 Healthy Heart Plan 2 (086 to 086)LA, OC, RV, SB, S. Diego-SPANISH H0562_2012_0126_SPN 12/31/2012

CA CA82458 N/A2012 Medicare ANOC Letter - Healthy Heart Plan 2 to Healthy Heart Plan 2to 2012 Healthy Heart Plan 2 (071 to 086) LA, OC, RV, SB, SD H0562_2012_0126 12/31/2012

CA CA82458-1 N/A2012 Medicare ANOC Letter - Healthy Heart Plan 2 to Healthy Heart Plan 2to 2012 Healthy Heart Plan 2 (071 to 086) LA, OC, RV, SB, SD-SPANISH H0562_2012_0126_SPN 12/31/2012

CA CA82460 N/A 2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 3 to 2012 Seniority Plus Ruby (077 to 017) S. Barb, S. Cruz, S.Diego H0562_2012_0109 12/31/2012

CA CA82460-1 N/A 2012 Medicare ANOC Letter- CA 2011 Seniority Plus Ruby Plan 3 to 2012 Seniority Plus Ruby (077 to 017) S. Barb, S. Cruz, S.Diego-SPANISH H0562_2012_0109_SPN 12/31/2012

CA CA82462 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart Plan 2 to 2012 Healthy Heart Plan 2 (058 to 084) Placer, Sacramento H0562_2012_0124 12/31/2012

CA CA82462-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart Plan 2 to 2012 Healthy Heart Plan 2 (058 to 084) Placer, Sacramento-SPANISH H0562_2012_0124_SPN 12/31/2012

CA CA82464 N/A2012 Medicare ANOC Letter - CA 2011 Healthy Heart to 2012 Healthy Heart (062 to 036) S. Joaq, S. Mateo, Solano H0562_2012_0110 12/31/2012

CA CA82464-1 N/A2012 Medicare ANOC Letter - CA 2011 Healthy Heart to 2012 Healthy Heart (062 to 036) S. Joaq, S. Mateo, Solano-SPANISH H0562_2012_0110_SPN 12/31/2012

CA CA82466 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart Plan 1 to 2012 Healthy Heart Plan 1 (087 to 087) Placer, Sacramento H0562_2012_0127 12/31/2012

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CA CA82466-1 N/A2012 Medicare ANOC Letter- CA 2011 Healthy Heart Plan 1 to 2012 Healthy Heart Plan 1 (087 to 087) Placer, Sacramento-SPANISH H0562_2012_0127_SPN 12/31/2012

CA CA82678 6025431 2012 Scope of Sales Appointment Confirmation Form - offsetY0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82678-1 N/A 2012 Scope of Sales Appointment Confirmation Form - PODY0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82678-2 N/A 2012 Scope of Sales Appointment Confirmation Form - SpanishY0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82678-3 N/A 2012 Scope of Sales Appointment Confirmation Form - ChineseY0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA82731 N/A MA DRTV 2012 AEP - SeptemberY0035_2011_1252 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA83457 N/A 2012 County of Kern Transportation FlyerH0562_EG_2011_0127 Compliance Approved 09142011 12/1/2012

CA CA83900 N/A Tool Kit 2011/2012 Prognosis Seminar Flyer Template

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

CA CA83900-1 N/A Tool Kit 2011/2012 Prognosis Seminar Flyer Template Y0035_2012_0251 11/9/2012CA CA83919 N/A 2011 CA Silver & Fit Member Flyer N/A 12/31/2012CA CA84006 N/A 2011 Silver & Fit Facility Listing N/A 12/31/2012CA CA84114 N/A Tool Kit 2011/2012 Med Exp/ 101 Seminar Flyer Template Y0035_2011_1352 11/9/2012

CA CA84146 6025462 2012 Think Green FlyerY0035_2012_0303 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA84146-1 N/A 2012 Think Green Flyer SPN Y0035_2012_0303_SPN 12/21/2012

CA CA84146-2 6025462 2012 Think Green FlyerY0035_2012_0303 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA84146-3 6025462 2012 Think Green FlyerY0035_2012_0303 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA84159 N/A 2012 Appeals & Grievances Part D Flyer Y0035_2012_0012 12/21/2012CA CA84159-1 N/A 2012 Appeals & Grievances Part D Flyer-SPANISH Y0035_2012_0012_SPN 12/21/2012CA CA84159-2 N/A 2012 Appeals & Grievances Part D Flyer-CHINESE Y0035_2012_0012_CHI 12/21/2012

CA CA84213 N/A 2012 Group Pharmacy Benefits Tier V TemplateY0035_EG_2012_0011 (H0562, S5678) Compliance Approved 08082011 12/1/2012

CA CA84213-1 N/A 2012 Group Pharmacy Benefits EDITABLE TemplateY0035_EG_2012_0011 (H0562, S5678) Compliance Approved 08082011 12/1/2012

CA CA84337 N/A CA 2012 AEP SEM Landing PageY0035_2012_0355 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA84354 6025546 2012 Silver & Fit Intro Letter Y0035_2012_0351 (H0562, H5439) 12/31/2012CA CA84356 6025547 2012 Silver & Fit Promotional Brochure Y0035_2012_0325 (H0562, H5439) 12/31/2012

CA CA84525 6025489 Formulary Value Sep 2011-Mar 2012Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA84535 6025488 Formulary Classic Sep 2011-Mar 2012Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA84680 N/A CA PDP Upsell to MAPD FlyerY0035_2012_0359 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

CA CA84680-2 N/A CA PDP Upsell to MAPD Flyer N/A 11/9/2012CA CA84710 N/A CA Winback AEP 2012 SAC OR PPO Y0035_2012_0315 (H5439, H5520) 11/7/2012CA CA84712 N/A CA Winback AEP 2012 General CA Y0035_2012_0354 (H0562, H5439) 11/7/2012CA CA84714 N/A CA Winback AEP 2012 LA DMA H0562_2012_0308 11/7/2012CA CA84726 N/A Ad, AEP 2012 CA ROP Santa Clara H0562_2012_0309 11/7/2012CA CA84728 N/A Ad, AEP 2012 CA ROP Sacramento H5439_2012_0310 11/7/2012CA CA84730 N/A Ad, AEP 2012 CA ROP Kern H0562_2012_0311 11/7/2012CA CA84732 N/A Ad, AEP 2012 CA ROP LA DMA - 3 seminar version H0562_2012_0264 11/7/2012CA CA84734 N/A Ad, AEP 2012 CA ROP San Diego H0562_2012_0289 11/7/2012CA CA84745 N/A Tool Kit 2011/2012 Med Exp/ 101 Customizable Seminar Flyer CA Y0035_2011_1352 11/9/2012CA CA84786 N/A Ad, AEP 2012 CA ROP San Joaquin H0562_2012_0312 11/7/2012

CA CA84886 N/A2012 Medicare Group Seniority Plus/Salud (HMO) Enrollment Form TEMPLATE

H0562_EG_2012_0020 Compliance Approved 09012011 12/2/2012

CA CA84932 N/A Formulary Translation N/A 12/31/2012

CA CA84933 6025491 Formulary Classic Sep 2011-Mar 2012 (Remove Formulary Tool)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA84935 N/A 2012 Medicare UC (UCI and UCLA) AddendumY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA84965 6025606 2012 EG Seniority Plus HMO Medical/Dental Enroll Form H0562_EG_2012_0017 Compliance Approved 09062011 12/1/2012

CA CA84970 N/A Ad, AEP 2012 CA ROP LA DMA - 6 seminar version H0562_2012_0265 11/7/2012CA CA84973 N/A Ad, AEP 2012 CA ROP LA DMA - No seminar version H0562_2012_0266 11/7/2012CA CA85041 N/A Flyer, 2012 AEP Salud 000 H0562_2012_0407 11/7/2012

CA CA85085 N/A Tool Kit 2012 CA Violet PPO Flyer with SeminarID H5439_2012_0371 File & Use 10022011 11/9/2012

CA CA85092 6025690 2012 Medicare Silver & Fit Basic Post Enrollment Brochure N/A 12/31/2012

CA CA85101 N/A 2012 CA HMO PPO Directory TemplateY0035_2012_0301 (H0351, H0562, H5439, H5520, H6815) 12/21/2012

CA CA85145 N/A B&T Recruit Letter 2012: H0562_2012_0396 H0562_2012_0396 11/21/2012

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Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateCA CA85149 N/A B&T CWK Letter 2012: H0562_2012_0398 H0562_2012_0398 11/21/2012CA CA85171 N/A 2012 Custom Print Ad (CA) Y0035_2011_1261 11/9/2012

CA CA85230 N/A Broker TK 2012/Count On Me - No SeminarY0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

CA CA85232 N/A Broker TK 2012/Count On Me - With SeminarY0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

CA CA85235 N/A Broker TK 2012/Time to Shop FlyerY0035_2012_0363 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA85245 N/A Broker TK 2012/000 Healthy Heart Plan 1 Flyer H0562_2012_0368 11/8/2012

CA CA85261 N/ATool Kit - 2012 Multi Seminar Flyer California Customizable for Print and Web

Y0035_2011_1272 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use08092011 11/9/2012

CA CA85329 N/A 2012 Custom Print Ad (Broker) Y0035_2011_1261 11/9/2012CA CA85344 6025729 2011 Amber II Take-One Brochure (AEP H0562_2012_0238 12/31/2012CA CA85344-1 6025817 2011 Amber II Take-One Brochure (AEP) - Spanish H0562_2012_0238_SPN 12/31/2012CA CA85344-2 6025818 2011 Amber II Take-One Brochure (AEP) - Chinese H0562_2012_0238_CHI 12/31/2012CA CA85344-3 6025819 2011 Amber II Take-One Brochure (AEP) - Russian H0562_2012_0238_RUS 12/31/2012

CA CA85346 N/A Tool Kit 2012 Prognosis Seminar Flyer CA

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

CA CA85425 N/A Broker TK 2012/Time to Shop Flyer - No BagY0035_2012_0362 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA85448 N/A Ad, AEP 2012 CA Generic yoga Y0035_2012_0385 (H0562, H5439) 11/7/2012

CA CA85491 N/ARetraction AD 2012 Y0035_2012_0386 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0386 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

CA CA85736 N/A Flyer, 2012 AEP Salud 0 doctor and drive H0562_2012_0402 11/7/2012

CA CA85804 N/A Age-in Sem flyer SD - 2012 AEPY0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA85805 N/A Age-in Sem LA DMA - 2012 AEPY0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA85806 N/A Age-in Sem No Cal - 2012 AEPY0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA85807 N/A Age-in IH LA DMA - 2012 AEPY0035_2010_1439 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA85809 N/A Age-in IH SD - 2012 AEPY0035_2010_1439 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA85859 N/APAMF Age-In Recruit Letter 2012: Y0035_2012_0432 (H0562, H5439, S5678)

Y0035_2012_0432 (H0562, H5439, S5678) 11/21/2012

CA CA85861 N/A Flyer, Medi-Cal Upsell to HN Amber II H0562_2012_0467 11/8/2012CA CA85861-1 N/A Flyer, Medi-Cal Upsell to HN Amber II (Spanish) H0562_2012_0467_SPN 11/8/2012

CA CA85868 N/APAMF AEP Recruit Letter 2012: Y0035_2012_0434 (H0562, H5439, S5678)

Y0035_2012_0434 (H0562, H5439, S5678) 11/21/2012

CA CA85874 N/ASt. Joseph Basics of Medicare Print Ad 2012: Y0035_2012_0408 (S5678, H0562, H5439)

Y0035_2012_0408 (S5678, H0562, H5439) 11/21/2012

CA CA85915 N/A Individual MedSupp 2012 Outline of Coverage (DK) N/A 4/19/2012CA CA85917 N/A Indiv MedSupp 2012Guarantee Issue Guide (DK) N/A 1/19/2012CA CA85919 N/A 2012 Individual MedSupp Enrollment Form N/A 7/9/2012CA CA85919-3 6026348 2012 CA Ind MedSupp Enrollment Form-offset N/A 7/9/2012CA CA85923 N/A MedSupp 2012Annual Membership Rate Sheet N/A 7/9/2012CA CA85925 N/A 2012 Farm Bureau MedSupp Enrollment Form N/A 7/9/2012CA CA85925-2 6026349 2012 CA Farm Bureau MedSupp Enrollment Form-offset N/A 7/9/2012CA CA85927 N/A Farm Bureau MedSupp Guarantee Issue Guide (DK) N/A 1/19/2012CA CA85929 N/A Farm Bureau MedSupp Outline of Coverage (DK) N/A 4/19/2012

CA CA85990 N/A2012 Additional Information - Healthy Heart Plan 1- Los Angeles, Orange, Riverside, San Bernardino (082) Y0035_2012_0361 12/21/2012

CA CA85990-1 N/A2012 Additional Information - Healthy Heart Plan 1- Los Angeles, Orange, Riverside, San Bernardino (082) SPANISH Y0035_2012_0361_SPN 12/21/2012

CA CA85992 N/A

2012 Additional Information - Ruby - San Diego Plan 2 (040), Los Angeles, Orange, Riverside, San Bernardin Plan 1 (083), San Joaquin (088), Santa Cruz (089)

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA85992-1 N/A

2012 Additional Information - Ruby - San Diego Plan 2 (040), Los Angeles, Orange, Riverside, San Bernardin Plan 1 (083), San Joaquin (088), Santa Cruz (089) - SPANISH

Y0035_2012_0361_SPN (H0562, H5439) 12/31/2012

CA CA85994 N/A 2012 Additional Information - Ruby -Kern (079) H5439) 12/31/2012CA85994-1 N/A 2012 Additional Information - Ruby -Kern (079) - SPANISH H5439) 12/31/2012

CA CA86056 N/APAMF AEP Recruit Letter - Santa Cruz 2012: Y0035_2012_0418 (S5678, H0562, H5439)

Y0035_2012_0418 (S5678, H0562, H5439) 11/21/2012

CA CA86086 N/APAMF MA Print Ad - Santa Cruz 2012: Y0035_2012_0414 (S5678, H0562, H5439)

Y0035_2012_0414 (S5678, H0562, H5439) 11/21/2012

CA CA86109 N/A 2012 Commercial Pharmacy Wrap Benefits Tier V Template Y0035_EG_2012_0011 (H0562, S5678) 12/1/2012CA CA86109-1 N/A 2012 Commercial Pharmacy Wrap Benefits Tier V Fillable Template Y0035_EG_2012_0011 (H0562, S5678) 12/1/2012

CA CA86118 N/A 2012 Medicare DK Cover - Amber II (070) ChineseY0035_2012_0013_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

CA CA86160 N/A Print AD - Kern revised H0562_2012_0421 11/7/2012

of 31


Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateCA CA86161 N/A Print AD - Sacramento revised H5439_2012_0422 11/7/2012CA CA86162 N/A Print AD - LA DMA w/3sem - revised H0562_2012_0423 11/7/2012CA CA86164 N/A Print AD - LA DMA w/6 sem - revised H0562_2012_0424 11/7/2012CA CA86165 N/A Print AD - Santa Clara revised H0562_2012_0425 11/7/2012CA CA86166 N/A Print AD - San Joaquin revised H0562_2012_0426 11/7/2012CA CA86167 N/A Print Ad - General revised Y0035_2012_0427 (H0562, H5439) 11/7/2012

CA CA86169 N/ASt. Joseph Basics of Medicare Flyer 2012: Y0035_2012_0410 (S5678, H0562, H5439)

Y0035_2012_0410 (S5678, H0562, H5439) 11/21/2012

CA CA86242 N/A MedSupp - 2012 Medicare Cost Sharing Addendum N/A 12/15/2011CA CA86402 N/A Toolkit Prognosis - Spanish - CA Version Y0035_2012_0251_SPN 11/9/2012CA CA86414 N/A Broker TK 2012/000 Healthy Heart Plan 1 Flyer - No Bag H0562_2012_0368 11/8/2012CA CA86435 N/A CA Glaucoma Self Mailer QI Y0035_2011_1433 11/9/2012CA CA86444 N/A CA Glaucoma Self Mailer QI - Spanish Y0035_2011_1433_SPN 11/9/2012

CA CA86491 N/A CA Lock-In 2012 Prognosis Seminar Flyer

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

CA CA86562 6025952 2012 Medicare GROUP PDP Disenrollment Form_COB/PDP VersionS5678_EG_2012_0036 Compliance Approved 10182011 12/1/2012

CA CA86579 N/A CA landing page - 2012 lock-inY0035_2012_0460 (H0351, H0562, H5439, H5520, H6815, S5678) 11/7/2012

CA CA86579-1 N/A CA landing page - 2012 lock-inY0035_2012_0795 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

CA CA86694 N/A 2012 Guarantee Association Act Form, MedSupp N/A 12/31/2012CA CA86694 N/A 2012 Guarantee Association Act Form, MedSupp N/A 12/31/2012

CA CA86719 N/ARobert Muto - Sales Meeting Flyer 2012: Y0035_2012_0480 (S5678, H0562, H5439)

Y0035_2012_0480 (S5678, H0562, H5439) 11/21/2012

CA CA86877 N/APAMF AEP Recruit Letter - Mills-Peninsula 2012: Y0035_2012_0440 (S5678, H0562, H5439)

Y0035_2012_0440 (S5678, H0562, H5439) 11/21/2012

CA CA86881 N/APMG - Santa Cruz Provider Letter 2012 - General: H0562_2012_0442 (Compliance Approved) H0562_2012_0442 11/21/2012

CA CA86881-1 N/APMG - Santa Cruz Provider Letter 2012 - General (Spanish): H0562_2012_0442_SPN (Compliance Approved) H0562_2012_0442_SPN 11/21/2012

CA CA86883 N/APMG - Santa Cruz Provider Letter 2012 - Freedom Blue PPO: H0562_2012_0443 (Compliance Approved) H0562_2012_0443 11/21/2012

CA CA86883-1 N/APMG - Santa Cruz Provider Letter 2012 - Freedom Blue PPO (Spanish): H0562_2012_0443_SPN (Compliance Approved) H0562_2012_0443_SPN 11/21/2012

CA CA86904 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Kern): H0562_2012_0444 H0562_2012_0444 11/8/2012

CA CA87016 N/A Amber II Broker Flyer - English/Spanish bilingual Version H0562_2012_0528 File & Use 12142011 11/9/2012

CA CA87016-1 N/A Amber II Broker Flyer - Spanish/English VersionH0562_2012_0528_SPN File & Use 12142011 11/9/2012

CA CA87069 N/A MSIPA - Provider Letter 2012: H0562_2012_0520 H0562_2012_0520 11/21/2012CA CA87073 N/A MSIPA - Provider Sign 2012: H0562_2012_0482 H0562_2012_0482 11/21/2012CA CA87089 N/A PAMF - Age-In Recruit Letter - Santa Cruz 2012: H0562_2012_0506 H0562_2012_0506 11/21/2012CA CA87098 N/A Memorial Healthcare Toolkit Flyer H0562_2012_0252 11/9/2012CA CA87124 N/A Memorial Long Beach Toolkit Flyer H0562_2012_0252 11/9/2012CA CA87131 N/A Regal Toolkit Flyer H0562_2012_0252 11/9/2012

CA CA87137 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Contra Costa): H5439_2012_0499 H5439_2012_0499 11/8/2012

CA CA87140 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Sacramento): H5439_2012_0500 H5439_2012_0500 11/8/2012

CA CA87144 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (San Joaquin): H0562_2012_0503 H0562_2012_0503 11/8/2012

CA CA87148 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Santa Clara/General): H0562_2012_0501 H0562_2012_0501 11/8/2012

CA CA87148-1 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Santa Clara/General - Spanish): H0562_2012_0501_SPN H0562_2012_0501_SPN 11/8/2012

CA CA87159 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (LA DMA): H0562_2012_0504 H0562_2012_0504 11/8/2012

CA CA87163 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (Santa Cruz): H0562_2012_0505 H0562_2012_0505 11/8/2012

CA CA87204 N/A PDP Upsell to Amber II DMY0035_2011_1544 (S5678, H0562) File & Use 11212011 11/9/2012

CA CA87204-1 N/A PDP Upsell to Amber II DM - SpanishY0035_2011_1544_SPN (S5678, H0562) File & Use 11212011 11/9/2012

CA CA87352 N/A Farm Bureau - MedSupp Preferred Payment Info Form N/A 7/9/2012CA CA87352-1 6026381 2012 CA FB MedSupp Preferred Payment Info Form-offset N/A 7/9/2012

CA87456 6026214 2012 Bay Area Provider Directory - ADDENDUM H0562_2012_0597 12/31/2012

CA CA87458 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (General Seminar): Y0035_2012_0530 (S5678, H0562, H5439)

Y0035_2012_0530 (S5678, H0562, H5439) 11/8/2012

CA CA87458-1 N/ALock-In TK 2012 - Competitor Sales Print Ad/Flyer (General Seminar - Spanish): H0562_2012_0530_SPN (S5678, H0562, H5439)

H0562_2012_0530_SPN (S5678, H0562, H5439) 11/8/2012

CA CA87694 N/A Age-In Tool Kit Flyer H0562_2012_0669 File & Use 02202012 12/31/2012

of 31



CA CA87725 6026226 REVISED 2012 CA Post Enrollment LetterY0035_2012_0089 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA87725-1 N/A REVISED 2012 CA Post Enrollment Letter - SPANISHY0035_2012_0089_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA87725-2 N/A REVISED 2012 CA Post Enrollment Letter CHIY0035_2012_0089_CHI (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CA CA87902 N/ABrand Awareness Research Survey 2011: Y0035_2012_0576 (S5678, H0351, H0562, H5439, H5520

Y0035_2012_0576 (S5678, H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA87936 N/ALock-In TK 2012 - Competitor Sales Flyer (General Seminar - Anthem Version): Y0035_2012_0530 (S5678, H0562, H5439)

Y0035_2012_0530 (S5678, H0562, H5439) 11/8/2012

CA CA87938 N/ALock-In TK 2012 - Competitor Sales Flyer (General Seminar - Competitor Version): Y0035_2012_0530 (S5678, H0562, H5439)

Y0035_2012_0530 (S5678, H0562, H5439) 11/8/2012

CA CA87940 N/A Amber II Flyer 2012: H0562_2012_0603 H0562_2012_0603 11/8/2012CA CA87940-1 N/A Amber II Flyer 2012 (Spanish): H0562_2012_0603_SPN H0562_2012_0603_SPN 11/8/2012CA CA88065 N/A 2012 Medicare CA PEK Letter (Catagory 3) Y0035_2012_0608 (H0562, H5439) 12/31/2012CA CA88068 N/A 2012 Medicare CA PEK Letter (Catagory 4) Y0035_2012_0609 (H0562, H5439) 12/31/2012

CA CA88085 60263152012 Ruby (HMO)Take One - Santa Barbara, Santa Cruz, San Diego,San Joaquin, Santa Clara H0562_2012_0575 12/31/2012

CA CA88213 N/A

NCD Letter Template�Y0035_2012_0612 (S5678, H0351, H0562, H5439, H5520, H6815, EG) CMS Approved 02062012


CA CA88400 N/ALock-In TK 2012 - Competitor Sales Flyer (General Seminar - Competitor Version) - 2/14 Release: Y0035_2012_0530 (S5678, H0562, H5439)

Y0035_2012_0530 (S5678, H0562, H5439) 11/8/2012

CA CA88402 N/ALock-In TK 2012 - Competitor Sales Flyer (General Seminar - Anthem Version) - 2/14 Release: Y0035_2012_0530 (S5678, H0562, H5439)

Y0035_2012_0530 (S5678, H0562, H5439) 11/8/2012

CA CA88402-1 N/A

Lock-In TK 2012 - Competitor Sales Flyer (General Seminar - Anthem Version SPN) - 2/14 Release: Y0035_2012_0530_SPN (S5678, H0562, H5439)

Y0035_2012_0530_SPN (S5678, H0562, H5439) 11/8/2012

CA CA88496 N/A PDP Upsell to Amber II DM - Jan mailingY0035_2011_1544 (S5678, H0562) File & Use 11212011 11/9/2012

CA CA88659 N/ABroker TK 2012/Count On Me - With Seminar (2/14 Release): Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0366 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

CA CA88663 N/ABroker TK 2012/Count On Me - No Seminar (2/14 Release): Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678)

Y0035_2012_0365 (H0351, H0562, H5439, H5520, H6815, S5678) 11/8/2012

CA CA88668 N/A CA Lock-In 2012 Prognosis Seminar Flyer (2/14 Release)Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA88721 N/A Age-in Sem LA DMA - 2012 AEP (2/14 Release)Y0035_2010_1441 (S5678. H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA88730 N/A Amber II Flyer 2012 - Seminar Version: H0562_2012_0643 H0562_2012_0643 11/8/2012

CA CA88730-1 N/A Amber II Flyer 2012 - Seminar Version (Spanish): H0562_2012_0643_SPN H0562_2012_0643_SPN 11/8/2012CA CA88811 N/A 2012 CA Individual Med Supp Dental Application NCR 7/9/2012

CA CA88817 N/A Age-in Sem No Cal Flyer - 2012 AEP (2/14 Release)Y0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA88819 N/A Age-in Sem SD Flyer - 2012 AEP (2/14 Release)Y0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA88834 6026384 REVISED - DIR 2012 PPO - Contra Costa/Sacramento Provider COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA88834 6026384 REVISED - DIR 2012 PPO - Contra Costa/Sacramento Provider COMBOY0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA88834-1 N/AREVISED - 2012 PPO - Contra Costa/Sacramento Provider Directory - SPANISH VERSION

Y0035_2012_0301 (H0562, H5439, H0351, H5520, H6815) 12/31/2012

CA CA88859 N/A 2012 CA MedSupp Divider2 Shell Imprint Addtl Info N/A 4/19/2012

CA CA88866 N/A Amber II Flyer 2012 Feb (Bilingual - ENG/SPN)H0562_2012_0603H0562_2012_0603_SPN 11/8/2012

CA CA89269 N/AAmber II Flyer 2012 - Bus. Dev./Comm. Rel. Version (English): H0562_2012_0603 H0562_2012_0603 11/8/2012

CA CA89269-1 N/AAmber II Flyer 2012 - Bus. Dev./Comm. Rel. Version (Spanish): H0562_2012_0603_SPN H0562_2012_0603_SPN 11/8/2012

CA CA89314 N/ACA Age-In Tool Kit Flyer 2012 (Sacramento) TEMPLATE: H5439_2012_0690 H5439_2012_0690 11/8/2012

CA CA89316 N/ACA Age-In Tool Kit Flyer 2012 (San Diego & Kern) TEMPLATE: H0562_2012_0691 H0562_2012_0691 11/8/2012

CA CA89331 N/A CA Age-In Tool Kit Flyer 2012 (General) TEMPLATE: H0562_2012_0696 H0562_2012_0696 11/8/2012

CA CA89333 N/ACA Age-In Tool Kit Flyer 2012 - Seminar (LA DMA) TEMPLATE: H0562_2012_0713 H0562_2012_0713 11/8/2012

CA CA89480 N/ACA - NCD Letter (march mailing 2012) Y0035_2012_0612 (S5678, H0351, H0562, H5439, H5520, H6815, EG) CMS Approved 02062012


CA89704 NOT 2012 CA Amber I & II Billing Buckslip H0562_2012_0476 12/31/2012CA CA89720 N/A Age-In Tool Kit Flyer - Field Sales H0562_2012_0669 File & Use 02202012 12/31/2012CA CA89722 N/A Age-In Tool Kit Flyer - Bus Dev / Comm Rel H0562_2012_0669 File & Use 02202012 12/31/2012

of 31



CA CA89743 N/ACA Age-In Tool Kit Flyer 2012 - Seminar (Sacramento) TEMPLATE: H5439_2012_0741 H5439_2012_0741 11/8/2012

CA CA89745 N/ACA Age-In Tool Kit Flyer 2012 - Seminar(San Diego & Kern) TEMPLATE: H0562_2012_0742 H0562_2012_0742 11/8/2012

CA CA89747 N/ACA Age-In Tool Kit Flyer 2012 - Seminar (General) TEMPLATE: H0562_2012_0746 H0562_2012_0746 11/8/2012

CA CA89767 N/A Flyer -Medicare Basics (2012) N/A 12/31/2012

CA CA89909 60264932012 Healthy Heart Take One Lock In (Los Angeles) Business Development H0562_2012_0237 12/21/2012

CA CA89911 6026484 2012 Healthy Heart Take One Lock In (North) Business Development H0562_2012_0237 12/21/2012

CA CA89913 60264852012 Healthy Heart Take One Lock In (Sacramento) Business Development H0562_2012_0237 12/21/2012

CA CA89915 6026486 2012 Healthy Heart Take One Lock In (San Diego) Business Development H0562_2012_0237 12/21/2012CA CA89917 6026487 2012 Amber II Take-One Brochure Lock-In ENG H0562_2012_0238 12/21/2012CA CA89917-1 6026488 2012 Amber II Take-One Brochure Lock-In SPN H0562_2012_0238_SPN 12/21/2012CA CA89917-2 6026489 2012 Amber II Take-One Brochure Lock-In CHI H0562_2012_0238_CHI 12/21/2012

CA CA89922 6026490 2012 Medicare Salud Take-One Lock-In (English) Business Development H0562_2012_0096 12/21/2012

CA CA89922-1 6026491 2012 Medicare Salud Take-One Lock-In (Spanish) Business Development H0562_2012_0096_SPN 12/21/2012

CA CA89926 60264922012 Ruby (HMO)Take One - Santa Barbara, Santa Cruz, San Diego,San Joaquin, Santa Clara Business Development H0562_2012_0575 12/21/2012

CA CA89988 N/A2012 Medicare Group Seniority Plus (HMO) Enrollment Form - 8.5x11 PDF only

H0562_EG_2012_0020_A Compliance Approved 04032012 12/1/2012

CA CA90024 N/ACA Age-In Tool Kit Flyer 2012 (San Diego & Kern) - Version: H0562_2012_0691 H0562_2012_0691 11/8/2012

CA CA90226 N/A CA Age-In Tool Kit Flyer 2012 (Sacramento): H5439_2012_0690 H5439_2012_0690 11/8/2012CA CA90228 N/A CA Age-In Tool Kit Flyer 2012 (General): H0562_2012_0696 H0562_2012_0696 11/8/2012CA CA90344 N/A CA Age-In Tool Kit Flyer 2012 - Seminar (LA DMA): H0562_2012_0713 H0562_2012_0713 11/8/2012

CA CA90386 N/ACA Age-In Tool Kit Flyer 2012 - Seminar(San Diego & Kern): H0562_2012_0742 H0562_2012_0742 11/8/2012

CA CA90395 N/A CA Age-In Tool Kit Flyer 2012 - Seminar (Sacramento): H5439_2012_0741 H5439_2012_0741 11/8/2012CA CA90399 N/A CA Age-In Tool Kit Flyer 2012 - Seminar (General): H0562_2012_0746 H0562_2012_0746 11/8/2012

CA CA90806 N/A CA Tool Kit - 2012 Multi Seminar Flyer (No PDP)

Y0035_2011_1272 (H0351,H0562,H5439,H5520,H6815,S5678) 11/8/2012

CA CA90862 N/ACA Age-In Medicare 101 Seminar TK Flyer 2012 (Field Sales): Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA90976 6026600 2012 CA Silver&Fit Directory Insert Y0035_2012_0846 (H0562, H5439) 11/1/2012

CA CA91010 N/ACA Age-In Medicare 101 Seminar TK Flyer 2012 (Broker Version): Y0035_2012_0776_ (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

CA CA91703 6026720 2012 EG PDP HNCA CVSC Amendment Y0080_EXP_60178CLT 12/1/2012CA CA93529 6026925 2012 EG PDP HNCA CVSC Amendment (Revised) Y0080_EXP_60178CLT_2012 12/1/2012CA CA94887 N/A Contra Costa meeting letter Y0035_2013_0288 (H0562, H5439) 11/9/2012CA CA95503 N/A same title - spanish N/A 12/31/2012

CORPCORP76135-1 N/A Straight reprint RAF CAPE Incentive Flyer Y0035_2011_0828 11/9/2012

CORPCORP77373-1 N/A CA Annual Physical Wellness Postcard Y0035_2011_0635 11/9/2012

CORPCORP78679-1 6024953 2012 OR Decision Power Brochure - Offset Y0035_2012_0028 12/31/2012

CORP CORP79302 N/A RAF Take Care Clinic Flyer Y0035_2011_1024 11/9/2012

CORP CORP79522 N/A RAF CAPE Clinic Flyer Template

Y0035_2011_1024 (H0351, H0562, H5439, H5520, H6815) File & Use 04132011 11/9/2012

CORP CORP79793 N/A RAF Wellness Incentive FlyerY0035_2011_1180 (H5520, H6815) File & Use 05252011 11/9/2012

CORP CORP80151 N/A RAF - CA & AZ Member Education Brochure Template (CAPE) Y0035_2011_1268 (H0562, H0351, H5439) File & Use 08032011 11/9/2012

CORP CORP80276 N/A Colorectal Self Mailer QI TemplateY0035_2011_1209 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORPCORP80276-1 N/A Colorectal Self Mailer QI _ Spanish - template

Y0035_2011_1209_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP80959 N/A RAF Phys/Provider General Message - Letter (window Envelope) TemplateY0035_2011_1181 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP80963 N/A RAF Phys/Provider General Message - Letter TemplateY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP81015 N/A RAF - $0 Copay for CAPE Arizona (2nd Qtr Mailing) Y0035_2011_0938 11/9/2012CORP CORP81018 N/A RAF - $0 Copay for CAPE - CA (2nd Qtr Mailing) Y0035_2011_0938 11/9/2012CORP CORP81035 N/A RAF - Thank you Mailer w/Magnet - OR Y0035_2011_1053 11/9/2012

CORPCORP81035-1 N/A RAF - Thank you Mailer w/Magnet - OR Y0035_2011_1053 11/9/2012

of 31





CORPCORP81035-4 N/A RAF - Thank you Mailer w/Magnet - OR (oct) Y0035_2011_1053 11/9/2012

CORPCORP81035-5 N/A RAF - Thank you Mailer w/Magnet - OR (Dec)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP81035-6 N/A RAF - Thank you Mailer w/Magnet - OR (Jan)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP81037 N/A Raf - Thank you Mailer w/Magnet - CA Y0035_2011_1053 11/9/2012

CORPCORP81037-1 N/A Raf - Thank you Mailer w/Magnet - CA Y0035_2011_1053 11/9/2012

CORPCORP81037-2 N/A Raf - Thank you Mailer w/Magnet - CA Y0035_2011_1053 11/9/2012

CORPCORP81037-3 N/A Raf - Thank you Mailer w/Magnet - CA (Oct) Y0035_2011_1053 11/9/2012

CORPCORP81037-4 N/A Raf - Thank you Mailer w/Magnet - CA (Dec)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP81037-5 N/A Raf - Thank you Mailer w/Magnet - OR (Dec)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP81037-6 N/A Raf - Thank you Mailer w/Magnet - AZ (Dec)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP81037-7 N/A Raf - Thank you Mailer w/Magnet - CA (Jan)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP81043 N/A RAF - Thank you Mailer w/Magnet - AZ Y0035_2011_1053 11/9/2012

CORPCORP81043-1 N/A RAF - Thank you Mailer w/Magnet - AZ Y0035_2011_1053 11/9/2012

CORPCORP81043-2 N/A RAF - Thank you Mailer w/Magnet - AZ Y0035_2011_1053 11/9/2012

CORPCORP81043-3 N/A RAF - Thank you Mailer w/Magnet - AZ (oct) Y0035_2011_1053 11/9/2012

CORPCORP81043-4 N/A RAF - Thank you Mailer w/Magnet - AZ (Dec)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP81043-5 N/A RAF - Thank you Mailer w/Magnet - AZ (Jan)

Y0035_2011_1053 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP81775 N/A RAF Phys/Provider General Message - Self Mailer Template SpanishY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP81978 N/A RAF Phys- Self Mailer: DR. C. LisingY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP82011 N/A RAF Phys-Self Mailer: DR SHAHY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP82014 N/A RAF Phys- Self Mailer DR. VAN DOY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP82017 N/A RAF Phys- Self Mailer DR. MiresY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP82753 N/A RAF Phys-Self Mailer: DR JOSEPH EIPE Y0035_2011_1179 11/9/2012CORP CORP82760 N/A RAF Phys-Self Mailer: DR LIANA VOLPE Y0035_2011_1179 11/9/2012CORP CORP82779 N/A RAF Phys-Self Mailer: DR FRANK JOSEPH MARTORELLA Y0035_2011_1179 11/9/2012CORP CORP82781 N/A RAF Phys-Self Mailer: DR ABDUL AHMADY (spanish) Y0035_2011_1179 11/9/2012CORP CORP82784 N/A RAF Phys-Self Mailer: DR JASMIN JAVAHERIAN Y0035_2011_1179 11/9/2012

CORP CORP83410 N/A Colorectal Self Mailer QI CAY0035_2011_1209 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83413 N/A Colorectal Self Mailer QI Arizona Y0035_2011_1209 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83415 N/A Colorectal Self Mailer QI OregonY0035_2011_1209 (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83425 N/A Colorectal Self Mailer QI _ Spanish - CaliforniaY0035_2011_1209_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83432 N/A Colorectal Self Mailer QI _ Spanish - CaliforniaY0035_2011_1209_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83435 N/A Colorectal Self Mailer QI SPN CAY0035_2011_1209_SPN (H0351, H0562, H5439, H5520, H6815) 12/31/2012

CORP CORP83888 6025318 RAF - OR Member Education Brochure (CAPE) Y0035)_2011_1321 11/9/2012

CORP CORP83977 N/A RAF Phys/Provider General Message - Self Mailer Template TagalogY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP83979 N/A RAF Phys/Provider General Message - Self Mailer Template ChineseY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP83985 N/A RAF Phys/Provider General Message - Self Mailer Template VietnameseY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP84231 6025536 RAF - CA Member Education Brochure (CAPE)Y0035_2011_1268 (H0562, H0351, H5439) File & Use 08032011 11/9/2012

CORP CORP84231 6025536 RAF - CA Member Education Brochure (CAPE)Y0035_2011_1268 (H0562, H0351, H5439) File & Use 08032011 11/9/2012

of 31



CORP CORP84250 6025535 RAF - AZ Member Education Brochure (CAPE)Y0035_2011_1268 (H0562, H0351, H5439) File & Use 08032011 11/9/2012

CORP CORP84297 N/A RAF Phys-Self Mailer: DR Martin Serota Alta Med English Y0035_2011_1179 11/9/2012

CORPCORP84297-1 N/A RAF Phys-Self Mailer: Dr. Martin Serota Alta Med Spanish Y0035_2011_1179 11/9/2012

CORP CORP84300 N/A RAF Phys-Self Mailer: Dr. Samuel Rotenberg, All careY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP84753 N/A RAF Phys-Self Mailer: DR Dean Didech, San Jose EnglishY0035_2011_1179 ( all regions no PDP) File and use 05252011 11/9/2012

CORP CORP85391 N/A Glaucoma Self Mailer QI Template Y0035_2011_1433 11/9/2012

CORPCORP85391-1 N/A Glaucoma Self Mailer Template - Spn Y0035_2011_1433_SPN 11/9/2012

CORP CORP85423 N/A 2012 Promotional Calendar QI Y0035_2012_0568 11/9/2012CORP CORP85519 N/A Flu Shot Postcard Template Y0035_2011_1523 11/9/2012

CORPCORP85519-1 N/A Flu Shot Postcard - Spanish Template Y0035_2011_1523_SPN 11/9/2012

CORPCORP85519-2 N/A Flu Shot Postcard - CA Spanish Version Y0035_2011_1523_SPN 11/9/2012

CORPCORP85519-2 N/A Flu Shot Postcard - CA Spanish Version Y0035_2011_1523_SPN 11/9/2012

CORP CORP85727 N/A RAF Phys-Self Mailer: Dr. Ashok Raheja Y0035_2011_1179 11/9/2012

CORP CORP86157 N/A QI Safety Poster: HN Branded (8.5x14)Y0035_2011_1514 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP86157-1 N/A QI Safety Poster: HN Branded (11x17))

Y0035_2011_1514 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP86157-2 N/A QI Safety Poster: HN Branded (11x17))-Spanish version

Y0035_2011_1514 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP86500 N/A QI Safety Poster - non HN branded version: 11 x 17Y0035_2011_1514 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP86500-1 N/A QI Safety Poster - non HN branded version: 8.5 x 14

Y0035_2011_1514 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP86587 N/A RAF Phys-Self Mailer: SCCIPA Dr. Pan Y0035_2011_1179 11/9/2012CORP CORP87479 N/A Flu Shot Postcard - AZ Version Y0035_2011_1523 11/9/2012CORP CORP87481 N/A Flu Shot Postcard - CA English Version Y0035_2011_1523 11/9/2012CORP CORP87483 N/A Flu Shot Postcard - OR Version Y0035_2011_1523 11/9/2012CORP CORP88764 N/A Wellness Reward Kit Flyer - OR Y0035_2012_0709 (H5520, H6815) 11/9/2012

CORP CORP89014 N/A OR - HN General MessageY0035_2012_0613 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP89061 N/A RAF Thank you Mailer with Magnet Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP89079 N/A AZ - HN General MessageY0035_2012_0613 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP89081 N/A CA - HN General MessageY0035_2012_0613 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP89136 N/A Wellness Reward Kit BRC - OR N/A 11/9/2012CORP CORP89496 N/A RAF Birthday Card envelope N/A 11/9/2012

CORP CORP89674 N/A Moving Tool Kit Flyer - OR Version

Y0035_2012_0668 (H0351, H0562, H5439, H5520, H6815) File & Use mmddyyyy 12/31/2012

CORP CORP89706 6026453 RAF Thank You magnetY0035_2012_0710 (H0351, H0562, H5439, H5520, H6815 11/9/2012

CORP CORP89737 N/A Moving Tool Kit Flyer - AZ Version H0351_2012_0743 File & Use 03132012 12/31/2012

CORP CORP89741 N/AAZ Age-In Tool Kit Flyer 2012 - Seminar TEMPLATE: Y0035_2012_0776 (H0351, H0562, H5439. H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439. H5520, H6815) 11/8/2012

CORP CORP89992 N/A Moving Tool Kit Flyer - CA Version

Y0035_2012_0668 (H0351, H0562, H5439, H5520, H6815) File & Use 02262012 12/31/2012

CORP CORP90030 N/A Community Event Tool Kit Flyer - CA Version

Y0035_2012_0667 (H0351, H0562, H5439, H5520, H6815) File & Use 02292012 12/31/2012

CORP CORP90096 N/A Community Event Tool Kit Flyer - MA only version (CA)

Y0035_2012_0667 (H0351, H0562, H5439, H5520, H6815) File & Use 02292012 12/31/2012

CORP CORP90098 N/A Moving Tool Kit Flyer - MA only (CA version)

Y0035_2012_0668 (H0351, H0562, H5439, H5520, H6815) File & Use 02262012 12/31/2012

CORP CORP90100 N/A Moving ToolKit Flyer - MA only (CA BizDev version)

Y0035_2012_0668 (H0351, H0562, H5439, H5520, H6815) File & Use 02262012 12/31/2012

CORP CORP90106 N/A Moving Tool Kit Flyer - MA only (OR version)

Y0035_2012_0668 (H0351, H0562, H5439, H5520, H6815) File & Use 02262012 12/31/2012

of 31



CORP CORP90112 N/A Community Event Tool Kit Flyer - MA only (CA Field Sales)

Y0035_2012_0667 (H0351, H0562, H5439, H5520, H6815) File & Use 02292012 12/31/2012

CORP CORP90116 N/A Community Event Tool Kit Flyer - MA only (OR version)

Y0035_2012_0667 (H0351, H0562, H5439, H5520, H6815) File & Use 02292012 12/31/2012

CORP CORP90119 N/A Community Event Tool Kit Flyer - AZ Version

Y0035_2012_0667 (H0351, H0562, H5439, H5520, H6815) File & Use 02292012 12/31/2012

CORPCORP90445-1 N/A Colorectal Self Mailer Spanish

Y0035_2011_1209_SPN (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP90685 N/A RAF Thank you Mailer CA (April) Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90685-1 N/A RAF Thank you Mailer CA (July)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90685-2 N/A RAF Thank you Mailer CA (Oct)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP90687 N/A RAF Thank you Mailer AZ (April) Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90687-1 N/A RAF Thank you Mailer AZ July)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90687-2 N/A RAF Thank you Mailer AZ (July)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90687-3 N/A RAF Thank you Mailer AZ (Oct)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP90689 N/A RAF Thank you Mailer OR (April) Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90689-1 N/A RAF Thank you Mailer OR (July)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP90689-2 N/A RAF Thank you Mailer OR (Oct)

Y0035_2012_0710 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP91220 N/A $0 Copay flyerY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP91245 N/A 2013 Promotional Calendar N/A 11/9/2012

CORP CORP91460 N/A Colorectal Self Mailer CAY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP91462 N/A Colorectal Self Mailer ORY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP91464 N/A Colorectal Self Mailer AZY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP92253 N/A Talk to Your Doctor posterY0035_2012_0930 (H0351, H0562, H5520, H6815) 11/9/2012

CORP CORP92684 N/A $0 Copay flyer AZY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP92690 N/A $0 Copay flyer CAY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP92692 N/A $0 Copay flyer ORY0035_2012_0900 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP92769 N/A RAF Birthday Card and envelope - CAY0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP92771 N/A RAF Birthday Card and envelope - ORY0035_2012_0849 (0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP93031-1 N/A RAF Birthday envelope - Aug mailing

Y0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP93031-2 N/A RAF Birthday envelope - Sept mailing

Y0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP94293 N/A $0 Copay flyer Revised - AZY0035_2012_0970 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP94295 N/A $0 Copay flyer Revised CAY0035_2012_0970 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP94297 N/A $0 Copay flyer Revised - ORY0035_2012_0970 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORPCORP94312-1 N/A RAF Birthday Card - AZ - Aug mailing

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94312-2 N/A RAF Birthday Card - AZ - Sept-Jan mailings

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94312-3 N/A RAF Birthday Card - AZ - November Birthdays

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94315-1 N/A RAF Birthday Card - CA Aug mailing

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94315-2 N/A RAF Birthday Card - CA Sept-Jan mailings

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94315-3 N/A RAF Birthday Card - November Birithdays

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

of 31



CORPCORP94317-1 N/A RAF Birthday Card - OR - Aug mailing

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94317-2 N/A RAF Birthday Card - OR - Sept-Jan mailings

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORPCORP94317-3 N/A RAF Birthday Card - OR - November Birthdays

Y0035_2012_0977 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP94319 N/A RAF Birthday envelope - AZY0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP94321 N/A RAF Birthday envelope - CAY0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP94323 N/A RAF Birthday envelope - ORY0035_2012_0935 (H0351, H0562, H5439, H5520, H6815, EG) 11/9/2012

CORP CORP94480 N/A Glaucoma Self Mailer - AZ Y0035_2012_0986 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP94482 N/A Glaucoma Self Mailer - CA Y0035_2012_0986 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP94484 N/A Glaucoma Self Mailer - OR Y0035_2012_0986 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

CORP CORP95577 N/A Wellness Brochure - AZY0035_2012_1071 (H0351, H0562, H5439) 11/9/2012

CORP CORP95579 N/A Wellness Brochure - CAY0035_2012_1071 (H0351, H0562, H5439) 11/9/2012

OR OR76765 N/A 1/1/2011 Individual MedSupp Replacement of Coverage Form N/A 1/1/2012OR OR77978 6024922 2011 - HNOR Med Supp Education Brochure N/A 12/31/2012OR OR78070 N/A 2011 OR MedSupp HIV Consent Form N/A 1/1/2012OR OR78076 N/A 2011 OR MedSupp PLAN A Benefit Summary N/A 1/1/2012OR OR78084 N/A 2011 OR MedSupp PLAN F Benefit Summary N/A 1/1/2012OR OR78086 N/A 2011 OR MedSupp PLAN F+ (High Ded.) Benefit Summary N/A 1/1/2012OR OR78088 N/A 2011 OR MedSupp PLAN K Benefit Summary N/A 1/1/2012OR OR78094 N/A 2011 OR MedSupp PLAN M Benefit Summary N/A 1/1/2012OR OR78398 6025098 DIR 2012 OR/WA PPO Provider Y0035_2012_0301 12/31/2012

OR OR78416 N/A2012 Medicare ANOC Letter - OR 2011 Ruby HMO to 2012 Ruby HMO (001-001) H6815_2012_0141 12/31/2011

OR OR78468 N/A 2012 Medicare ANOC Letter - OR 2011 Aqua to 2012 Aqua (001-001) H5520_2012_0133 12/31/2011

OR OR78478 N/A2012 Medicare ANOC Letter -OR 2011 Violet Option 1 to 2012 Violet Option 1(002-002) H5520_2012_0134 12/31/2011

OR OR78506 6025099 DIR 2012 OR/WA HMO Provider Y0035_2012_0301 12/31/2012OR OR78506-3 6025099 DIR 2012 OR/WA HMO Provider Y0035_2012_0301 12/31/2012OR OR78506-4 6025099 Straight Reprint- DIR 2012 OR/WA HMO Provider Y0035_2012_0301 12/31/2012OR OR78506-5 6025099 DIR 2012 OR/WA HMO Provider Y0035_2012_0301 12/31/2012OR OR78508 N/A 2012 Medicare ANOC Letter - OR 2011 Aqua to 2012 Aqua (003-003) H5520_2012_0135 12/31/2011

OR OR78510 N/A2012 Medicare ANOC Letter - OR 2011 Violet Option 1 to 2012 Violet Option 1 (004-004) H5520_2012_0136 12/31/2011

OR OR78512 N/A2012 Medicare ANOC Letter - OR 2011 Violet Option 2 to 2012 Violet Option 2 (005-005) H5520_2012_0137 12/31/2011

OR OR78514 N/A2012 Medicare ANOC Letter - OR 2011 Violet Option 2 to 2012 Violet Option 2 (006 to 006) H5520_2012_0138 12/31/2011

OR OR78516 N/A2012 Medicare ANOC Letter - 2011 Healthy Heart -North to 2012 Healthy Heart North (009 to 009) H5520_2012_0139 12/31/2011

OR OR78518 N/A2012 Medicare ANOC Letter - OR 2011 Healthy Heart - South to 2012 Healthy Heart - South (010 to 010) H5520_2012_0140 12/31/2011

OR OR78532 6025100 DIR 2012 OR/WA Medicare WELLNET Y0035_2012_0335 12/31/2012OR OR78540 6025101 DIR 2012 OR/WA Medicare MHN Provider Y0035_2012_0083 12/31/2012OR OR78550 6025102 DIR 2012 OR/WA Medicare Silver&Fit Provider H5520_2012_0357 12/31/2012OR OR78552 N/A 2012 OR PPO SB (North) H5520_2012_0050 12/31/2012OR OR78562 N/A 2012 OR PPO SB (South) H5520_2012_0050 12/31/2012OR OR78569 N/A 2012 OR Part C Plan Ratings (H6815) H6815_2012_0492 10/25/2012OR OR78581 N/A 2012 OR Benefit Guide - South (PPO) Y0035_2012_0064 12/31/2012OR OR78583 N/A 2012 OR Benefit Guide - North (PPO) Y0035_2012_0064 12/31/2012OR OR78585 N/A 2012 OR Benefit Guide -Ruby (HMO) Y0035_2012_0064 12/31/2012OR OR78648 N/A 2012 OR Part D Plan Ratings (H6815) H6815_2012_0493 10/25/2012OR OR78662 N/A 2012 OR ABD Form - DK Y0035_2012_0012 12/31/2012OR OR78662-1 6025440 2012 OR ABD Form - Offset Y0035_2012_0012 12/31/2012OR OR78667 6024882 2012 OR Optional Supplemental Benefits Enrollment Form - Offset Y0035_2012_0030 12/31/2012OR OR78672 N/A 2012 OR DP Healthy Discounts Brochure - DK Y0035_2012_0029 12/31/2012OR OR78672-1 6025829 2012 OR DP Healthy Discounts Brochure - Offset Y0035_2012_0029 12/31/2012OR OR78674 6024955 2012 OR Quick Reference Guide Flyer - Offset Y0035_2012_0019 12/31/2012OR OR78677 6024954 2012 Healthy Discounts Flyer - Offset Y0035_2012_0030 12/31/2012OR OR78679 6024953 2012 OR Decision Power Brochure - Offset Y0035_2012_0029 12/31/2012OR OR78683 6024760 2012 OR HMO Take-One Brochure - Offset H5520_2012_0025 12/31/2012OR OR78685 6024761 2012 OR PPO Take-One Brochure - Offset H6815_2012_0022 12/31/2012OR OR78699 N/A 2012 OR Silver&Fit Pre-Enrollment Flyer H5520_2012_0241 12/31/2012OR OR78703 N/A 2012 OR Optional Supplemental Benefits Guide - PPO - DK Y0035_2012_0087 12/31/2012OR OR78705 N/A 2012 OR Optional Supplemental Benefits Guide HMO - DK Y0035_2012_0087 12/31/2012

of 31


Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateOR OR78708 N/A 2012 OR Part D Plan Ratings Guide - PPO H5520_2012_0494 12/31/2012OR OR78710 N/A 2012 OR Part C Plan Ratings Guide - PPO H5520_2012_0495 12/31/2012OR OR78714 6025537 2012 OR Short Enrollment Form - Offset Y0035_2012_0077 12/31/2012

OR OR78754 N/A CA Age In In Home TK Flyer /OR

Y0035_2010_1439 (H0351, H0562, H5439, H5520, H6815) CMS Approved 09162010 11/9/2012

OR OR78917 N/A 2011 OR MedSupp Intro to Product Section - Phase II N/A 1/12/2012OR OR78921 N/A 2011 OR MedSupp "Choosing a HN MedSupp" Flyer - Phase I N/A 1/12/2012OR OR78924 N/A 2011 OR MedSupp Plan Overview - Phase II N/A 1/12/2012OR OR78927 N/A 2011 OR MedSupp Notice of Privacy Practices - Phase II N/A 6/15/2012OR OR78931 N/A 2011 OR MedSupp HIV Consent Form - Phase II N/A 6/15/2012OR OR78934 N/A 2011 OR MedSupp Cover Shell Imprint N/A 1/1/2012OR OR78936 N/A 2011 OR MedSupp Divider Shell Imprint N/A 1/12/2012OR OR78938 N/A 2011 OR MedSupp TOC Imprint N/A 1/12/2012OR OR78942 N/A 2011 OR MedSupp PLAN A Benefit Summary - Phase II N/A 1/12/2012OR OR78944 N/A 2011 OR MedSupp PLAN F Benefit Summary - Phase II N/A 1/12/2012OR OR78946 N/A 2011 OR MedSupp PLAN F+ (High Ded.) Benefit Summary N/A 1/12/2012OR OR78948 N/A 2011 OR MedSupp PLAN K Benefit Summary - Phase II N/A 1/12/2012OR OR78950 N/A 2011 OR MedSupp PLAN M Benefit Summary - Phase II N/A 1/12/2012OR OR78952 N/A 2011 OR MedSupp Additional Info-Phase II N/A 1/12/2012OR OR78958 N/A 2011 OR MedSupp Replacement of Coverage Form - Phase II N/A 6/15/2012OR OR78960 N/A 2011 OR MedSupp ABD Form - Phase II N/A 6/15/2012OR OR79056 N/A 2011 OR MedSupp Decision Power Flyer - Phase II N/A 1/12/2012OR OR79933 6025543 2012 OR Post Enrollment Letter Y0035_2012_0089 12/31/2012OR OR80066 N/A 2011 Nov. Buckslip (MBR Post Enroll LTR)-OR Y0035_2011_0742 12/31/2011OR OR80101 N/A Flyer, 2011 Broker 2.5x3 generic N/A 11/9/2012OR OR80113 N/A Flyer, 2011 Broker rack ad generic (3.5" x 8") N/A 11/9/2012OR OR80317 N/A 2012 OR Ruby HMO SB (DK) H6815_2012_0049 12/31/2012OR OR80319 6025723 2012 OR Benefits-at-a-Glance North (w/Ruby, w/ Aqua) - Offset Y0035_2012_0072 12/31/2012OR OR80327 6025724 2012 OR Benefits-at-a-Glance - South (no Ruby, w/ Aqua) Offset Y0035_2012_0072 12/31/2012OR OR81256 N/A 2012 OR Long Enrollment Form (model version) DK Y0035_2012_0078 12/31/2012OR OR81256-1 6025807 2012 OR Long Enroll FRM(Model)Offset Y0035_2012_0078 12/31/2012OR OR81263 N/A 2012 OR Welcome to Health Net Flyer Y0035_2012_0014 12/31/2012OR OR81265 N/A 2012 OR Appeals,Grievances,Formulary Exceptions Flyer Y0035_2012_0012 12/31/2012OR OR81269 N/A 2012 OR Pre-Enrollment Letter Y0035_2012_0003 12/31/2012OR OR81271 6025545 2012 OR SSC Questionnaire Y0035_2012_0011 12/31/2012OR OR81273 N/A 2012 OR How to Enroll (4 Easy Ways to Enroll) Y0035_2012_0002 12/31/2012OR OR82640 N/A 2012 OR Ruby (001) ANOC Cover LTR H6815_2012_0141 12/31/2012OR OR82643 N/A 2012 OR Aqua (001) ANOC Cover LTR H5520_2012_0133 12/31/2012OR OR82645 N/A 2012 OR Aqua (003) ANOC Cover LTR H5520_2012_0134 12/31/2012OR OR82647 N/A 2012 OR VO1 (002) ANOC Cover LTR H5520_2012_0135 12/31/2012OR OR82649 N/A 2012 OR VO1 (004) ANOC Cover LTR H5520_2012_0136 12/31/2012OR OR82651 N/A 2012 OR VO2 (005) ANOC Cover LTR H5520_2012_0137 12/31/2012OR OR82654 N/A 2012 OR VO2 (006) ANOC Cover LTR H5520_2012_0138 12/31/2012OR OR82656 N/A 2012 OR HH N. (009) ANOC Cover LTR H5520_2012_0139 12/31/2012OR OR82658 N/A 2012 OR HH S. (010) ANOC Cover LTR H5520_2012_0140 12/31/2012

OR OR84342 N/A OR 2012 AEP SEM Landing PageY0035_2012_0355 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

OR OR84680-1 N/A OR PDP Upsell to MAPD Flyer N/A 11/9/2012

OR OR84684 N/A OR PDP Upsell to MAPD Flyer

Y0035_2012_0359 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use 10022011 11/9/2012

OR OR84705 6025808 2012 OR S&F Intro Letter (S950-293A-HNNW) H5520_2012_0245 12/31/2012OR OR84708 6025782 2012 OR S&F Basic Promo Brochure (M950-291A-HNNW) H5520_2012_0246 12/31/2012OR OR84720 N/A Ad, AEP 2012 OR ROP Time to Shop H6815_2012_0328 11/7/2012OR OR84722 N/A Ad, AEP 2012 OR ROP Violet PPO H5520_2012_0314 11/7/2012

OR OR84748 N/A Tool Kit 2011/2012 Med Exp/ 101 customizable Seminar Flyer OR

Y0035_2011_1352 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use 08242011 11/9/2012

OR OR84758 N/ATool Kit 2012 Oregon PPO Seminar Flyer OR�H5520_2012_0342 File & Use 09202011 H6815_2012_0360 File & Use 09252011 11/9/2012

OR OR85083 N/A Tool Kit 2012 Oregon HMO Seminar Flyer OR H6815_2012_0360 File & Use 09252011 11/9/2012OR OR85169 N/A 2012 Custom Print Ad (OR) Y0035_2011_1261 11/9/2012OR OR85252 N/A Broker TK 2012/0x12 Violet Option 2 (PPO) Plan Flyer H5520_2012_0369 11/8/2012

OR OR85262 N/ATool Kit - 2012 Multi Seminar Flyer Oregon Customizable for Print and Web

Y0035_2011_1272 (H0351, H0562, H5439, H5520, H6815, S5678) File & Use 08092011 11/9/2012

OR OR85365 N/A Tool Kit 2012 Prognosis Seminar Flyer OR

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

OR OR85415 N/A Ad, AEP 2012 OR ROP Ruby HMO H6815_2012_0328 11/7/2012OR OR86343 N/A 2012 MedSupp Plan Overview N/A 3/28/2012OR OR86345 N/A 2012 MedSupp PLAN A Benefit Summary N/A 3/28/2012OR OR86347 N/A 2012 MedSupp PLAN F Benefit Summary N/A 3/28/2012

of 31


Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DateOR OR86349 N/A 2012 MedSupp PLAN F+ (High Ded.) Benefit Summary N/A 3/28/2012OR OR86351 N/A 2012 MedSupp PLAN K Benefit Summary N/A 3/28/2012OR OR86353 N/A 2012 MedSupp PLAN M Benefit Summary N/A 3/28/2012OR OR86364 N/A 2012 OR MedSupp Divider Shell Imprint N/A 1/19/2012OR OR86364-1 N/A 2012 OR MedSupp Divider 1 Shell Imprint N/A 4/19/2012OR OR86366 N/A 2012 OR MedSupp TOC N/A 4/19/2012OR OR86437 N/A OR Glaucoma Self Mailer QI Y0035_2011_1433 11/9/2012

OR OR86485 N/A OR Lock-in 2012 Prognosis Seminar Flyer

Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) File & Use 08302011 11/9/2012

OR OR86542 N/A 2011 OR Med Supp Vision Flyer - BRAND UPDATE N/A 12/31/2012

OR OR86580 N/A OR Landing Page - 2012 Lock-inY0035_2012_0460 (H0351, H0562, H5439, H5520, H6815, S5678) 11/7/2012

OR OR86580-1 N/A OR Landing Page - 2012 Lock-inY0035_2012_0795 (H0351, H0562, H5439, H5520, H6815) 11/7/2012

OR OR86674 6025964 2012 OR Short Enrollment Form - Offset

Y0035_2012_0077 (H0351, H0562, H5439, H5520, H6815) CMS Approved 09132011 12/31/2012

OR OR86918 6026072 2012 OR Quick Reference Guide Flyer V.2 - OffsetY0035_2012_0509 (H5520, H6815) File & Use 11222011 12/31/2012

OR OR88588 6026312 2012 OR WellNet Directory Insert Y0035_2012_0593 12/31/2012OR OR88588-1 6026312 2012 OR WellNet Directory Insert Y0035_2012_0593 12/31/2012

OR OR88682 N/A OR Lock-in 2012 Prognosis Seminar Flyer (2/14 Release)Y0035_2012_0251 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

OR OR88719 N/A 2012 OR MedSupp Plan Overview Rev2 DK/POD N/A 4/10/2012OR OR88736 N/A 2012 OR MedSupp PLAN K Benefit Summary Rev 2 N/A 6/15/2012

OR OR88821 N/A Age-in Sem OR Flyer - 2012 AEP (2/14 Release)Y0035_2010_1441 (S5678, H0351, H0562, H5439, H5520, H6815) 11/8/2012

OR OR89095 N/A OR Spring Wellness event post card Y0035_2012_0800 (H5520, H6815) 11/9/2012OR OR89220 N/A OR Age-In Tool Kit Flyer 2012 TEMPLATE: H5520_2012_0697 H5520_2012_0697 11/8/2012

OR OR89504 N/AOR- NCD Letter (march mailing 2012) Y0035_2012_0612 (S5678, H0351, H0562, H5439, H5520, H6815, EG) CMS Approved 02062012


OR OR89749 N/AOR Age-In Tool Kit Flyer 2012 - Seminar TEMPLATE: Y0035_2012_0763 (H5520, H6815) Y0035_2012_0763 (H5520, H6815) 11/8/2012

OR OR90230 N/A OR Age-In Tool Kit Flyer 2012: H5520_2012_0697 H5520_2012_0697 11/8/2012

OR OR90577 N/AOR Age-In Tool Kit Flyer 2012 - Seminar: Y0035_2012_0763 (H5520, H6815) Y0035_2012_0763 (H5520, H6815) 11/8/2012

OR OR90808 N/A OR Tool Kit - 2012 Multi Seminar Flyer (No PDP)

Y0035_2011_1272 (H0351,H0562,H5439,H5520,H6815,S5678) 11/8/2012

OR OR90869 N/AOR Age-In Medicare 101 Seminar TK Flyer 2012 (Field Sals): Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

OR OR91026 N/AOR Age-In Medicare 101 Seminar TK Flyer 2012 (Broker Version): Y0035_2012_0776_ (H0351, H0562, H5439, H5520, H6815)

Y0035_2012_0776 (H0351, H0562, H5439, H5520, H6815) 11/8/2012

OR OR92815 N/A OR Fall Retention letter Y0035_2013_0032 (H5520, H6815) 11/9/2012OR OR94478 N/A OR Fall Retention letter Y0035_2013_0032 (H5520, H6815) 11/9/2012OR OR94662 6027316 OR Fall Retention letter - North version Y0035_2013_0032 (H5520, H6815) 11/9/2012OR OR94664 N/A OR Fall Retention letter - South version Y0035_2013_0032 (H5520, H6815) 11/9/2012

OR OR94748 N/A BRC - Meeting RSVP - ORY0035_2012_0960 (H0351, H0562, H5439, H5520, H6815) 11/9/2012

OR OR94799 N/A OR Fall Meetings - Portland Y0035_2013_0007 (H0351, H5520, H6815) 11/9/2012

OR OR94801 N/A OR Fall Meetings Clark Cty/VancouverY0035_2013_0007 (H0351, H5520, H6815) 11/9/2012

OR OR94803 N/A OR Fall Meetings Linn/Lane NorthY0035_2013_0007 (H0351, H5520, H6815) 11/9/2012

OR OR94805 N/A OR Fall Meetings Jackson/JosephineY0035_2013_0007 (H0351, H5520, H6815) 11/9/2012

OR OR94807 N/A OR Fall Mtgs JJ BrokerY0035_2013_0007 (H0351, H5520, H6815) 11/9/2012

OR OR94818 N/A OR Fall Retention letter - North PPO Y0035_2013_0032 (H5520, H6815) 11/9/2012PDP PDP61502-1 N/A 2012 PDP Pre-Enroll BRE N/A 12/31/2012

PDP66661-2 6022527 2011 CA Pharmacy Directory - SPANISH version Cvr&FM Y0035_2011_0007_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP66852-2 N/A 2011 ANOC PDP CA Orange Option 1 (002 to 002) - Chinese S5678_2011_0157_CHI 12/31/2012PDP PDP66860-1 N/A 2011 ANOC PDP CT, MA, RI, VT Orange Option 1 (004 to 004) - Chinese S5678_2011_0158_CHI 12/31/2012PDP PDP67826-1 N/A 2011 PDP S5678 Part D Plan Ratings - NEW - Spanish S5678_2011_0788_SPN 12/31/2012PDP PDP67828-1 N/A 2011 PDP Part C Plan Ratings (NEW) - Spanish S5678_2011_0822_SPN 12/31/2012PDP PDP67963-2 N/A 2011 ANOC PDP TX Orange Option 1 (050 to 050) - Chinese S5678_2011_0203_CHI 12/31/2012

PDP71323-3 N/AREVISE 2011 - Individual CLASSIC Comprehensive Formulary Directory - Translated Spanish Version

Y0035_2011_0006_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP71323-4 N/A REVISE 2011 - Individual CLASSIC Comprehensive Formulary DirectoryY0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

of 31



PDP71323-5 N/A2011 - Individual CLASSIC Comprehensive Formulary Directory - CHINESE

Y0035_2011_0006_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP71325-4 N/A REVISE 2011 - Individual VALUE Comprehensive Formulary DirectoryY0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP71325-5 N/AREVISE 2011 - Individual VALUE Comprehensive Formulary Directory- Spanish Version

Y0035_2011_0006_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP71325-6 N/A 2011 - Individual VALUE Comprehensive Formulary Directory - CHINESEY0035_2011_0006_CHI (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP71327-4 N/A REVISE 2011 - Group 4-Tier Comprehensive Formulary DirectoryY0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP71327-5 N/AREVISE 2011 - Group 4-Tier Comprehensive Formulary Directory - Spanish Version

Y0035_EG_2011_0028_SPN (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP PDP71329-3 N/A REVISE 2011 - Group 5-Tier Comprehensive Formulary DirectoryY0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP71329-4 N/AREVISE 2011 - Group 5-Tier Comprehensive Formulary Directory - Spanish Version

Y0035_EG_2011_0028_SPN (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP PDP76415-2 N/A 2012 PDP Benefit Highlights Arizona PBP 001 / 007 - SPN S5678_2012_0020_SPN 12/31/2012PDP PDP76603-3 N/A 2012 PDP Summary of Benefits - California - PBP 002 / 008 Offset S5678_2012_0058 12/31/2012PDP PDP76613-1 N/A 2012 PDP Summary of Benefits - Hawaii -PBP 066 / 065 POD S5678_2012_0058 12/31/2012PDP PDP76615-1 N/A 2012 PDP Summary of Benefits - Idaho/Utah - PBP 064 / 063 POD S5678_2012_0058 12/31/2012PDP PDP76615-2 N/A 2012 PDP Summary of Benefits - Idaho/Utah - PBP 064 / 063 POD S5678_2012_0058 12/31/2012PDP PDP76617-2 6024366 2012 PDP Summary of Benefits - Illinois - PBP 040 / 039 POD S5678_2012_0058 12/31/2012PDP PDP76619-1 N/A 2012 PDP Summary of Benefits - Indiana/Kentucky - PBP 036 / 035 POD S5678_2012_0058 12/31/2012PDP PDP76621-1 N/A 2012 PDP Summary of Benefits - Kansas - PBP 054 / 053 POD S5678_2012_0058 12/31/2012PDP PDP76623-1 N/A 2012 PDP Summary of Benefits - Louisiana - PBP 048 / 047 POD S5678_2012_0058 12/31/2012PDP PDP76625-1 N/A 2012 PDP Summary of Benefits - Michigan - PBP 032 / 031 POD S5678_2012_0058 12/31/2012PDP PDP76627-1 6024371 2012 PDP Summary of Benefits - Mid Atlantic - PBP 016 / 015 POD S5678_2012_0058 12/31/2012PDP PDP76629-1 6024373 2012 PDP Summary of Benefits - Mississippi - PBP 046 / 045 POD S5678_2012_0058 12/31/2012PDP PDP76631-1 6024374 2012 PDP Summary of Benefits - Missouri - PBP 042 / 041 POD S5678_2012_0058 12/31/2012PDP PDP76633-2 6024375 2012 PDP Summary of Benefits - Nevada - PBP 062 / 061 POD S5678_2012_0058 12/31/2012PDP PDP76993-2 6024378 2012 PDP Summary of Benefits - New Jersey - PBP 005 / 011 POD S5678_2012_0058 12/31/2012PDP PDP76995-2 6024379 2012 PDP Summary of Benefits - New Mexico - PBP 058 / 057 POD S5678_2012_0058 12/31/2012PDP PDP76997-1 6024380 2012 PDP Summary of Benefits - North Carolina - PBP 022 / 021 POD S5678_2012_0058 12/31/2012

PDP PDP76999-1 6024376 2012 PDP Summary of Benefits - Northern New Eng. - PBP 014 / 013 POD S5678_2012_0058 12/31/2012PDP PDP77001-1 6024381 2012 PDP Summary of Benefits - Ohio - PBP 034 / 033 POD S5678_2012_0058 12/31/2012PDP PDP77003-1 6024382 2012 PDP Summary of Benefits - Oklahoma - PBP 052 / 051 POD S5678_2012_0058 12/31/2012

PDP PDP77005-1 60243832012 PDP Summary of Benefits - Oregon/Washington - PBP 006 / 012 POD S5678_2012_0058 12/31/2012

PDP PDP77007-1 60243842012 PDP Summary of Benefits - Pennsylvania/West Virginia - PBP 017/018 POD S5678_2012_0058 12/31/2012

PDP PDP77009-1 6024385 2012 PDP Summary of Benefits - South Carolina - PBP 023 / 024 POD S5678_2012_0058 12/31/2012PDP PDP77011-2 6024386 2012 PDP Summary of Benefits - Texas - PBP 050 / 049 POD S5678_2012_0058 12/31/2012

PDP PDP77013-1 6024372

2012 PDP Summary of Benefits - Mid West/Plains (Upper Midwest & Northern Plains: Iowa/Minnesota/Montana/Nebraska/North Dakota/ South Dakota/Wyoming ) - PBP 056 / 055 POD S5678_2012_0058 12/31/2012

PDP PDP77015-1 6024387 2012 PDP Summary of Benefits - Virginia - PBP 019 / 020 POD S5678_2012_0058 12/31/2012PDP PDP77017-1 6024388 2012 PDP Summary of Benefits - Wisconsin - PBP 037 / 038 POD S5678_2012_0058 12/31/2012PDP PDP77019-1 N/A 2012 PDP Product Overview DK - Spanish N/A 12/31/2012PDP PDP77021-1 N/A 2012 PDP Pre-Enrollment Letter - Spanish S5678_2012_0033_SPN 12/31/2012PDP PDP77021-3 N/A 2012 PDP Pre-Enrollment Letter - DK/POD S5678_2012_0058 12/31/2012PDP PDP77053-1 N/A 2012 PDP Summary of Benefits Data Merge Template N/A 12/31/2012

PDP PDP77095-1 6025107 2012 AL Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77095-3 6025107 Straight Reprint- 2012 AL Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77099-2 6025109 Straight Reprint- 2012 AZ Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77099-4 6025109 Straight Reprint- 2012 AZ Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77101-2 6025110 Straight Reprint- 2012 AR Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77103-4 6025111 Straight Reprint- 2012 CA Pharmacy Directory Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012



PDP PDP77105-2 6025112 Straight Reprint- 2012 CO Pharmacy Directory-ver2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77107-1 6025113 Straight Reprint- 2012 CT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


of 31




PDP PDP77109-1 6025114 2012 DC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77109-2 6025114 2012 DC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77109-3 6025114 Straight Reprint- 2012 DC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77109-4 6025114 Straight Reprint 2012 DC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77111-1 6025115 2012 DE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77111-2 6025115 Straight Reprint- 2012 DE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77111-3 6025115 Straight reprint 2012 DE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77115-1 6025117 Straight Reprint- 2012 GA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77119-1 6025119 2012 ID Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77121-1 6025120 Straight Reprint- 2012 IL Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77123-1 6025121 Straight Reprint 2012 IN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77123-2 6025121 Straight Reprint- 2012 IN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77123-3 6025121 Straight reprint 2012 IN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77125-1 6025122 Straight Reprint 2012 IA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77125-2 6025122 POD - 2012 IA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77125-3 6025122 Straight Reprint- 2012 IA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77125-4 6025122 Straight Reprint- 2012 IA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77127-1 6025123 2012 KS Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77127-2 6025123 Straight Reprint- 2012 KS Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77129-1 6025124 2012 KY Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77129-2 6025124 Straight Reprint- 2012 KY Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77131-1 6025125 2012 LA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77131-2 6025125 Straight Reprint- 2012 LA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77133-1 6025126 2012 ME Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77133-2 6025126 Straight Reprint-2012 ME Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77133-3 6026126 Straight Reprint-2012 ME Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77135-1 6025127 2012 MD Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77135-2 6025127 2012 MD Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77137-1 6025128 Straight Reprint- 2012 MA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77139-1 6025129 2012 MI Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012



PDP PDP77141-1 6025130 2012 MN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


PDP PDP77141-3 6025130 Straight Reprint- 2012 MN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


of 31



PDP PDP77143-1 6025131 2012 MS Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77143-2 6025131 Straight Reprint- 2012 MS Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77145-1 6025132 Straight Reprint- 2012 MO Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77145-2 6025132 Straight Reprint- 2012 MO Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77148-1 6025133 2012 MT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77148-2 6025133 2012 MT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77148-3 6025133 Straight Reprint- 2012 MT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77148-4 6025133 Straight Reprint- 2012 MT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77150-1 6025134 2012 NE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77150-2 6025134 2012 NE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77150-3 6025134 Straight Reprint- 2012 NE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77150-4 6025134 Straight Reprint- 2012 NE Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77154-1 6025136 2012 NH Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77154-2 6025136 Straight Reprint- 2012 NH Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77156-1 6025137 2011 NJ Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77158-1 6025138 Straight Reprint- 2012 NM Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77162-1 6025139 2011 NC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77162-2 6025139 Straight Reprint- 2011 NC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77164-1 6025140 2012 ND Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77164-2 6025140 2012 ND Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77164-3 6025140 Straight Reprint- 2012 ND Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77166-1 6025141 Straight Reprint- 2012 OH Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77166-2 6025141 Straight Reprint- 2012 OH Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77168-1 6025142 Straight Reprint-2012 OK Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77170-1 6025143 Straight Reprint- 2012 OR Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77172-1 6025144 2012 PA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77172-2 6025144 Straight Reprint- 2012 PA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77174-1 6025145 Straight Reprint- 2012 RI Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77176-1 6025146 Straight Reprint- 2012 SC Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77178-1 6025147 2012 SD Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


PDP PDP77178-3 6025147 Straight Reprint- 2012 SD Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


PDP PDP77180-1 6025148 Straight Reprint- 2012 TN Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77182-2 6025149 Straight Reprint- 2012 TX Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77184-1 6025150 Straight Reprint- 2012 UT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77184-2 6025150 Straight Reprint- 2012 UT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

of 31



PDP PDP77186-1 6025151 Straight Reprint- 2012 VT Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77188-1 6025152 2012 VA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77188-2 6025152 2012 VA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77190-1 6025153 Straight Reprint- 2012 WA Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77192-1 6025154 2012 WV Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77192-2 6025154 Straight Reprint- 2012 WV Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77192-3 6025154 Straight Reprint- 2012 WV Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77194-1 6025155 2012 WI Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77194-2 6025155 Straight Reprint- 2012 WI Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77199-1 6025156 2012 WY Pharmacy Directory - PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP77199-2 6025156 2012 WY Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77199-3 6025156 Straight Reprint- 2012 WY Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77199-4 6025156 Straight Reprint- 2012 WY Pharmacy DirectoryY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77241-1 6025916 2012 PDP Statements of Understanding - Spanish - Offset S5678_2012_0015_SPN 12/31/2012PDP PDP77323-1 N/A 2012 ANOC PDP IL Orange Option 1 (040 to 040) SPN S5678_2012_0164_SPN 12/31/2012PDP PDP77325-1 N/A 2012 ANOC PDP IL Orange Option 2 (039 to 039) SPN S5678_2012_0165_SPN 12/31/2012PDP PDP77375-1 N/A 2012 ANOC PDP NV Orange Option 1 (062 to 062) SPN S5678_2012_0180_SPN 12/31/2012PDP PDP77377-1 N/A 2012 ANOC PDP NV Orange Option 2 (061 to 061 SPN) S5678_2012_0181_SPN 12/31/2012PDP PDP77379-1 N/A 2012 ANOC PDP NJ Orange Option 1 (005 to 005) SPN S5678_2012_0182_SPN 12/31/2012PDP PDP77381-1 N/A 2012 ANOC PDP NJ Orange Option 2 (011 to 011) SPN S5678_2012_0183_SPN 12/31/2012PDP PDP77383-1 N/A 2012 ANOC PDP NM Orange Option 1 (058 to 058) SPN S5678_2012_0184_SPN 12/31/2012PDP PDP77385-1 N/A 2012 ANOC PDP NM Orange Option 2 (057 to 057) - SPN S5678_2012_0185_SPN 12/31/2012PDP PDP77415-1 N/A 2012 ANOC PDP TX Orange Option 1 SPN (050 to 050) S5678_2012_0200_SPN 12/31/2012PDP PDP77417-1 N/A 2012 ANOC PDP TX Orange Option 2 (049 to 049) SPN S5678_2012_0201_SPN 12/31/2012

PDP PDP77525-2 6025224 2012 Medicare Group N.E. PDP Enrollment Form ENGS5678_EG_2012_0022 Compliance Approved 09192011 12/1/2012

PDP PDP77543 N/A 2012 PDP Automatic Bank Draft (ABD) Form - DK S5678_2012_0007 12/31/2012PDP PDP77543-1 N/A 2012 PDP Automatic Bank Draft (ABD) Form - Spanish S5678_2012_0007_SPN 12/31/2012PDP PDP77543-2 6025940 2012 PDP Automatic Bank Draft (ABD) Form - Offset S5678_2012_0007 12/31/2012PDP PDP77543-3 6026191 2012 PDP Automatic Bank Draft (ABD) Form - Spanish - Offset S5678_2012_0007_SPN 12/31/2012PDP PDP77543-4 6025940 2012 PDP Automatic Bank Draft (ABD) Form - Offset S5678_2012_0007 12/31/2012PDP PDP77543-5 6025940 2012 PDP Automatic Bank Draft (ABD) Form - Offset S5678_2012_0007 12/31/2012PDP PDP77551-1 N/A 2012 PDP Part C Plan Ratings - Spanish N/A 12/31/2012PDP PDP77555 N/A 2012 PDP Part D Plan Ratings S5678_2012_0788 12/31/2012PDP PDP77555-1 N/A 2012 PDP Part D Plan Ratings - Spanish S5678_2012_0788_SPN 12/31/2012PDP PDP77559 6024354 2012 PDP Post-Enrollment Letter Offset S5678_2012_0001 12/31/2012PDP PDP77559-1 2012 PDP Post-Enrollment Letter SPN N/A 12/31/2012PDP PDP77559-2 6024351 2012 PDP Post-Enrollment Letter CHI N/A 12/31/2012PDP PDP77559-3 6024349 2012 PDP Post-Enrollment Letter N/A 12/31/2012PDP PDP77563-1 6025290 2012 PDP Abbreviated Enrollment Form - Offset S5678_2012_0080 12/31/2012PDP PDP77563-2 6025875 2012 PDP Abbreviated Enrollment Form - SPN - offset S5678_2012_0080_SPN 12/31/2012PDP PDP77573 6025707 2012 Model PDP Disenrollment Form - POD S5678_2012_0345 12/31/2012PDP PDP77573-1 N/A 2012 Model PDP Disenrollment Form - SPN - POD S5678_2012_0345_SPN 12/31/2012PDP PDP77617 N/A 2011 ANOC PDP Template ANOC N/A 12/31/2012

PDP PDP77709 N/A 2012 PDP How to Enroll (4 easy ways to enroll)Y0035_2012_0002 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP77709-1 N/A 2012 PDP How to Enroll (4 easy ways to enroll) - SpanishY0035_2012_0002_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP79971 N/A 2011 Medicare Rx Claim Form - w/ changes Y0035_2011_1103 12/31/2011PDP PDP80070 N/A 2011 Nov.Secret Shopper Buckslip-PDP(DK) Y0035_2011_0742_ 12/31/2011PDP PDP80070-1 N/A 2011Nov.Secret Shopper Buckslip-PDP(SPN) Y0035_2011_0742_SPN 12/31/2011PDP PDP80070-2 N/A 2011Nov.SecretShopperBuckslip-PDP Offset Y0035_2011_0742 12/31/2011PDP PDP81172 N/A 2012 PDP BH Data MergeTemplate N/A 12/31/2012

PDP PDP82735 N/A 2012 Appeals & Grievances and Part D Formulary Exceptions Flyer - PDPY00035_2012_0012 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP82735-1 N/A2012 Appeals & Grievances and Part D Formulary Exceptions Flyer - PDP -Spanish

Y00035_2012_0012_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84035 6025468 FormularyTier 5 Group Monthly July 2011Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84037 6025469 Formulary Classic Monthly July 2011Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

of 31


Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DatePDP PDP84143 N/A 2012 Group CA_CT PDP ANOC Template S5678_EG_2012_0010 12/1/2012PDP PDP84222 6025706 2012 PDP Enrollment Form S5678_2012_0079 12/31/2012PDP PDP84222-1 6025820 2012 PDP Enrollment Form Offset S5678_2012_0079 12/31/2012PDP PDP84222-2 N/A 2012 PDP Enrollment Form SPN DK S5678_2012_0079_SPN 12/31/2012PDP PDP84222-3 6026192 2012 PDP Enrollment Form SPN - offset S5678_2012_0079_SPN 12/31/2012

PDP PDP84306 6025467 FormularyTier 4 Group Monthly July 2011Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84307 6025470 Formulary Value Monthly July 2011Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84310 6025487 FormularyTier 5 Group Sep 2011-Mar 2012Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84332 N/A Broker Blast: Medicare Group PDP Drug Coverage Changes N/A 12/1/2011

PDP PDP84742 6025474 Formulary Value AUG Monthly 2011Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84742-1 6025474 Formulary Value AUG Monthly 2011 - PODY0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84746 6025473 Formulary Classic AUG Monthly 2011Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84746-1 6025473 Formulary Classic AUG Monthly 2011 - PODY0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84749 6025471 Formulary Tier4 AUG Monthly 2011Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84751 6025472 Formulary Tier5 AUG Monthly 2011Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84751-1 6025472 Formulary Tier5 AUG Monthly 2011Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP84933 6025491 Formulary Classic Sep 2011-Mar 2012 (Remove Formulary Tool)Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84933-1 6025491 Formulary Classic Sep 2011-Mar 2012 (Remove Formulary Tool)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012


PDP PDP84933-3 6025491 Formulary Classic Sep 2011-Mar 2012 (Remove Formulary Tool) PODY0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012


PDP PDP84936 6025492 Formulary Value Sep 2011-Mar 2012 (Remove Formulary Tool)Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP84936-1 6025492 Formulary Value Sep 2011-Mar 2012 (Remove Formulary Tool)Y0035_EG_2011_0006 (H0351, H0562, H5439, H5520, S5678) 12/31/2012



PDP PDP85617 6025475 Formulary, 4-Tier Employer Group Monthly (For September)Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP85619 6025476 Formulary, 5-Tier Employer Group Monthly (For September)Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP85622 6025477 Formulary, Individual Classic Monthly (For September)Y0035_EG_2011_0006 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP85622-1 6025477 Formulary, Individual Classic Monthly (For September) - PODY0035_EG_2011_0006 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP85623 6025478 Formulary, Individual Value Monthly (For September)Y0035_EG_2011_0006 (H0351, H0562, H5439, H5520, S5678) 12/31/2012

PDP PDP85799 N/A NE Benefit Highlights Template_No WrapS5678_EG_2012_0031 Compliance Approved 10062011 12/1/2012

PDP PDP85799-1 N/A NE Benefit Highlights Version_No Wrap_FillableS5678_EG_2012_0031 Compliance Approved 10062011 12/1/2012

PDP PDP85908 N/A NE Benefit Highlights Template_With Wrap N/A 12/1/2012PDP PDP85908-1 N/A NE Benefit Highlights_With Wrap_Electric Boat Version N/A 12/1/2012PDP PDP85908-2 N/A NE Benefit Highlights Fillable Template_With Wrap N/A 12/1/2012

PDP PDP86060 N/A 2012 Pharmacy Directory, CA (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86060-1 N/A 2012 Pharmacy Directory, CA (Chinese)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86067 N/A 2012 Pharmacy Directory, AZ (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86069 N/A 2012 Pharmacy Directory, NJ (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86071 N/A 2012 Pharmacy Directory, IL (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86073 N/A 2012 Pharmacy Directory, FL (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

of 31



PDP PDP86075 N/A 2012 Pharmacy Directory, TX (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86077 N/A 2012 Pharmacy Directory, NM (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86079 N/A 2012 Pharmacy Directory, CO (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86081 N/A 2012 Pharmacy Directory, NV (Spanish)Y0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP86480 N/A 2012 NE PDP Short Enrollment Form Electric Boat S5678_EG_2012_0040 Compliance Approved 10262011 12/3/2012

PDP PDP86560 6025944 2012 Medicare GROUP Orange (N.E.) PDP Disenrollment Form S5678_EG_2012_0036 Compliance Approved 10182011 12/1/2012

PDP PDP87078 6025481 Formulary, Individual Classic Monthly (For November)Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87080 6026150 2012 SD Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87082 6026110 2012 AL Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87094 6025482 Formulary, Individual Value Monthly (For November)Y0035_2011_0006 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87096 6025480 Formulary, 5-Tier Employer Group Monthly (For November)Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP PDP87100 6026096 Formulary, 4-Tier Employer Group Monthly (For November)Y0035_EG_2011_0028 (H0351, H0562, H5439, H5520, S5678) 11/9/2012

PDP PDP87102 6026111 2012 AK Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87104 6026112 2012 AZ Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87104-1 6026112 2012 AZ Pharmacy Directory-Version 2 PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87106 6026113 2012 AR Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87108 6026114 2012 CA Pharmacy Directory-Version 2 Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87110 6026115 2012 CO Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87112 6026116 2012 CT Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87116 6026117 2012 DC Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87118 6026118 2012 DE Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87118-1 6026118 2012 DE Pharmacy Directory-Version 2 - PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87120 6026119 2012 FL Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87122 6026120 2012 GA Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87127 6026121 2012 HI Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87129 6026122 2012 ID Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87133 6026123 2012 IL Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87135 6026124 2012 IN Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87135-1 6026124 2012 IN Pharmacy Directory-Version 2 PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87142 6026125 2012 IA Pharmacy Directory - Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87146 6026126 2012 KS Pharmacy Directory-Version 2 Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87150 6026127 2012 KY Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87152 6026128 2012 LA Pharmacy Directory - Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87154 6026129 2012 ME Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87154-1 6026129 POD - 2012 ME Pharmacy Directory-Version 2 Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87157 6026130 2012 MD Pharmacy Directory - Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87161 6026131 2012 MA Pharmacy Directory - Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

of 31



PDP PDP87165 6026132 2012 MI Pharmacy Directory- Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87167 6026133 2012 MN Pharmacy Directory- Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87171 6026134 2012 MS Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87173 6026135 2012 MO Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87176 6026136 2012 MT Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87190 6026137 2012 NE Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87192 6026138 2012 NV Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87194 6026139 2012 NH Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87200 6026140 2011 NJ Pharmacy Directory- Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87202 6026141 2012 NM Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87206 6026142 2012 NC Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87208 6026143 2012 ND Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87210 6026144 2012 OH Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87212 6026145 2012 OK Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87214 6026146 2012 OR Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87216 6026147 2012 PA Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87218 6026148 2012 RI Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87218-1 N/A 2012 RI Pharmacy Directory-Version 2 - SpanishY0035_2012_0066_SPN (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87220 6026149 2012 SC Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87222 6026151 2012 TN Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87222-1 6026151 2012 TN Pharmacy Directory-Version 2 - PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87224 6026152 2012 TX Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87224-1 6026152 2012 TX Pharmacy Directory-Version 2 PODY0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP87224-2 6026152 2012 TX Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87226 6026153 2012 UT Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87228 6026154 2012 VT Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87230 6026155 2012 VA Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87232 6026156 2012 WA Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87234 6026157 2012 WV Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87240 6026158 2012 WI Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP87242 6026159 2012 WY Pharmacy Directory-Version 2Y0035_2012_0066 (H0351, H0562, H5439, H5520, H6815, S5678) 12/31/2012

PDP PDP90462 6025494 2012 Individual Classic Monthly Formulary (For March)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP90464 6025495 2012 Individual Value Monthly Formulary (For March)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP90466 6025493 2012 Individual 5-Tier Group Monthly Formulary (For March)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP91413 6025496 2012 Individual 5-Tier Group Monthly Formulary (For April)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP91415 6025497 2012 Individual Classic Monthly Formulary (For April)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP91417 6025498 2012 Individual Value Monthly Formulary (For April)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

of 31


Region Job Number SAP Number Material JobTitle CMS Material ID# Obsolete DatePDP PDP91763 6026731 2012 EG PDP CVSC Amendment - HNNE-nonCA Y0080_EXP_60178CLT 12/1/2012

PDP PDP92210 6025499 2012 Individual 5-Tier Group Monthly Formulary (For May)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP92212 6025500 2012 Individual Classic Monthly Formulary (For May)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP92212-1 6025500 2012 Individual Classic Monthly Formulary (For May)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP92214 6025501 2012 Individual Value Monthly Formulary (For May)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP93341 6025502 2012 Individual 5-Tier Group Monthly Formulary (For June)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP93341-1 6025502 2012 Individual 5-Tier Group Monthly Formulary (For June)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP93343 6025503 2012 Individual Classic Monthly Formulary (For June)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP93345 6025504 2012 Individual Value Monthly Formulary (For June)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP93533 6026926 2012 EG PDP CVSC Amendment - HNNE-nonCA (Revised) Y0080_EXP_60178CLT_2012 12/1/2012PDP PDP93843 6026947 2012 PDP Individual CVSC Amendment - Offset Y0080_EXP_60178_2012 12/31/2012PDP PDP93843-1 N/A 2012 PDP Individual CVSC Amendment - POD Y0080_EXP_60178_2012 12/31/2012PDP PDP93843-2 N/A 2012 PDP Individual CVSC Amendment Spanish - POD/DPRINT Y0080_EXP_60178SP_2012 12/31/2012

PDP PDP94258 6025505 2012 5-Tier Group Monthly Formulary (For July)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP94260 6025506 2012 Individual Classic Monthly Formulary (For July)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP94262 6025507 2012 Individual Value Monthly Formulary (For July)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP94290 N/A Schools Insurance Group - Apology LetterY0035_EG_2012_0084 (H0562, H0351, S5678) 12/1/2012

PDP PDP95264 6025508 2012 5-Tier Group Monthly Formulary (For August)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP95266 6025509 2012 Individual Classic Monthly Formulary (For August)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP95268 6025510 2012 Individual Value Monthly Formulary (For August)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP96183 6025512 2012 Individual Classic Monthly Formulary (For Sept)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP96185 6025513 2012 Individual Value Monthly Formulary (For Sept)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP96187 6025511 2012 5-Tier Group Monthly Formulary (For Sept)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 11/9/2012

PDP PDP96807 6025514 2012 5-Tier Group Monthly Formulary (For Oct)Y0035_EG_2012_0005_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/7/2012

PDP PDP96809 6025516 2012 Individual Classic Monthly Formulary (For Oct)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/7/2012

PDP PDP96811 6025517 2012 Individual Value Monthly Formulary (For Oct)Y0035_2012_0021_A (H0351, H0562, H5439, H5520, H6815, S5678) 12/7/2012

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