Effective 1/1/2008

• HF 22
• HF 24
• HF 25
• HF 26

• Value 1
• Value 2
• Value 3
• Value 4

• C 1 (effective 1/2008) - prescription coverage is included
• C 1 (effective 4/2008) - prescription coverage is not included
• C 2 (effective 1/2008) - prescription coverage is included
• C 2 (effective 4/2008) - prescription coverage is not included
• C 3 - effective 4/1/2008
• C 4 - effective 4/1/2008

• Group limitations and exclusions

3/17/2008