These documents are mostly in Adobe Acrobat format. If you do not already have Acrobat installed please download the free reader.
County Health Pool - Frequently Asked Questions
Medical Summary Documents
2009 Plan A Benefit Summary 2009 Plan B500 Benefit Summary 2009 Plan B1000 Benefit Summary 2009 Plan HSA HDHP Benefit Summary
2008 Plan A Benefit Summary 2008 Plan B500 Benefit Summary 2008 Plan B1000 Benefit Summary 2008 Plan HSA HDHP Benefit Summary
Medical Plan Documents
2009 Plan A SPD 2009 Plan B500 SPD 2009 Plan B1000 SPD 2009 Plan HSA HDHP 2500
2008 Plan A SPD 2008 Plan B500 SPD 2008 Plan B1000 SPD 2008 Plan HSA HDHP 2500
Medical Documents & Forms
Medical Claim Form CDL Physical Claim Form Health Fair Claim Form Flu Shot Claim Form
Dental &Vision Documents & Forms
2009 Dental Plan A Summary 2009 Dental Plan B Summary 2009 Dental Comparison Summary
2009 Dental Plan A SPD 2009 Dental Plan B SPD
2008 Dental A Summary 2008 Dental B Summary 2008 Dental Comparison Summary
2008 Dental Plan A SPD 2008 Dental Plan B SPD
2009 Vision Benefit Summary 2009 Vision Plan Document
2008 Vision Plan Document Attending Dentist Statement Form
Dental Claim Form for Medical Procedures
Prescription Forms
Prescription Drug Claim Form Prescription Drug Mail Order Form
Other Documents CHP HIPAA Privacy Notice "Who to Call" Reference Sheet