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All of the forms listed below are in PDF format which allows you to view them electronically on most computers. The Adobe Acrobat reader is required to view and print PDF files. Follow this link to download Adobe free of charge.

All Members

Humana HMO Members:

PPO Plans A, B Members
Plan Documents:

Teachers First Choice Members
Plan Documents:

Locate a PPO Provider

  • Preferred Health Professionals - Locate Physicians and Hospitals in our network of preferred providers. Please see the explanations below if you need assistance in determining a network area.
  • Freedom Network Select- Network choice for services in 48 counties around the Kansas City area including a 5-county service area in Kansas
  • HealthLink PPO- Network choice for services outside Freedom Network Select in Missouri
  • HPK (Health Partners of Kansas)- Network choice for services outside Missouri and Kansas
  • PHCS- Network choice for services outside Missouri and Kansas

Delta Dental Members

PPO

Employee Assistance Program:

Employer Access Agreement:

Employer Online Enrollment Guide:

Affidavit of Common-law Marriage


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