Assigned number | Title | Release date | File type | Language | Available to order |
---|---|---|---|---|---|
F-01234 | Explanation of Medical Benefits | 04/02/2018 | English | No | |
F-01234 | Explanation of Medical Benefits | 04/02/2018 | Word | English | No |
F-01234A | Instructions: Explanation of Medical Benefits | 11/10/2023 | English | No |
Last revised July 18, 2025