AGENT DETAILS
Scott Allyn Carpenter (HEALTHCARE SOLUTIONS TEAM, LLC)
scottc7824@yahoo.com
8133525461 Cell
8133525461 Office
PLAN SECTION
HEALTHCARE SOLUTIONS TEAM, LLC
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Annual Deductible Per Member
Formulary
Retail Co-pay
Copay-1
Copay-2
Copay-3
Mail Order Co-pay
Copay-1
Copay-2
Copay-3
Maximum Benefits Payable
Per Member Per Month
Monthly Rates
Individual
Individual + Spouse
Individual + Child(ren)
Family
No plan is available.
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
PRIMARY MEMBER APPLICANT DETAILS
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APPLICANT ADDRESS

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