MEDICAL
Insured Preferred Provider Plans		Product NameForm Number
ACE Property and Casualty Insurance CompanyStudent Accident & Sickness PolicyAH-29564-MA
Aetna Life Insurance CompanyOpen ChoiceGR-9
Aetna Life Insurance CompanyManaged ChoiceGR-9
Aetna Life Insurance CompanyStudent Blanket PolicyGR96134
Aetna Life Insurance CompanyStudent Sports Accident InsuranceGR-96487-1 ED. 10-07 et al.
AXIS Insurance CompanyStudent Blanket PolicyBSAS-002-0211-MA
Blue Cross and Blue Shield of Massachusetts, Inc.Blue Care ElectBLUE CARE ELECT (01-01-06 Rev.)
BCBSMA HMO Blue, Inc.
 		Preferred Blue PPO
 		PRF BLUE PPO (1-1-08)
 
CIGNA Health and Life Insurance CompanyPoint of ServiceHC-CER1, et al.
CIGNA Health and Life Insurance CompanyPoint of Service Open AccessHC-CER1, et al.
CIGNA Health and Life Insurance CompanyCareLink/Open Access PlusHC-CER1, et al.
CIGNA Health and Life Insurance CompanyPPOHC-CER1, et al.
CIGNA Health and Life Insurance CompanyOpen Access PlusHC-CER1, et al.
ConnectiCare of Massachusetts, Inc.Point of Service Open Access PlanCMI/POS 01 (1/2010)
ConnectiCare of Massachusetts, Inc.Open Access Deductible OptionCMI/POS Deductible LG 01 (10/2011)
ConnectiCare of Massachusetts, Inc.Open Access Deductible OptionCMI/POS Deductible SG 01 (10/2011)
ConnectiCare of Massachusetts, Inc.Point of Service Personal Care PlanCMI/POSPCP 01 (1/2010)
Fallon Health & Life Assurance CompanyFallon Preferred Care11-670-345 Rev. 00 12/11
Fallon Health & Life Assurance CompanyFallon Preferred Care11-670-345 Rev. 00 12/11
Harvard Pilgrim Health Care, Inc.Premium PPO 10MAPPO0701
Harvard Pilgrim Health Care, Inc.Value PPO 15 $250 admissionMAPPO0701
Harvard Pilgrim Health Care, Inc.Best Buy PPO 500; 1000, 2000MAPPO0701
Health New England, Inc.HNE Advantage PlusHNE/POSPLUS-06
Health New England, Inc.HNE Premier PPOHNE/PHCS-PPO-06
Health New England, Inc.HNE PPO SaverHNE/PHCS-PPOSaver-06
Health New England, Inc.HNE Wise PPOHNE/PHCS-PPOSaver-06
Health New England, Inc.HNE MedPlus PPOHNE/PHCS/PPO-07-Medicare-Grp
HPHC Insurance Company, Inc.The PPO Plan  MassachusettsMAG1PPOHBREV
HPHC Insurance Company, Inc.Best Buy HSA PPO310
HPHC Insurance Company, Inc.HPHC Qualifying Student Health PlanHPHC 06-BR-MA-PPO
Monumental Life Insurance Company 1Student Acc. & Sickness Ins. ProgramNHG-MP-400.MA
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW PHCS 101 10/26/04
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW CERT 101 5/19/03
Nationwide Life Insurance CompanyStudent Acc. & Sickness Ins. ProgramNW CIGNA 101
Tufts Associated Health Maintenance Organization, Inc.POS OptionCC-MAPOS-001 Ed. 1-2008
Tufts Associated Health Maintenance Organization, Inc.PPOMA-PPO-001 Ed. 1-2008
Tufts Insurance CompanyAdvantage PPOMA-TICOPPO-001 Ed.1-2008
Tufts Insurance CompanyCareLink
 		MA-TICOPPO-002 Ed. 1-2008
 
UniCARE Life and Health Insurance Company Unicare Classic PPOGCR100 et al.
United HealthCare Insurance CompanySelect PlusSELECTP.I.01.MA
United HealthCare Insurance CompanyOptions PPO OPTIONSPPO.I.01.MA
United HealthCare Insurance CompanyOptions PPO 80/80OPTIONS80/80.I.01.MA
United HealthCare Insurance CompanyQualifying Student Health Plan12-BR-MA-PPO


1Effective October 1, 2007, Peoples Benefit Life Insurance Company merged into Monumental Life Insurance Company

*  Please note that the following companies or product(s) do not appear above due to their decision to discontinue the offer of the plan(s) in Massachusetts - (The) Chesapeake Life Insurance Company, Combined Insurance Company of America,  (The) Guardian Life Insurance Company of America, Affordable PPO 20 - 80%/20%), Harvard Pilgrim Health Care, Inc. (Value PPO 15 - 90%/10%), John Alden Life Insurance Company, (The) MEGA Life and Health Insurance Company, Mid-West National Life Insurance Company of Tennessee, Time Insurance Company, Unicare Life and Health Insurance Company (Form #s BCR 100.1 MA 10/04  and BCR 105.1-MA 11/04), Union Security Insurance Company and United HealthCare Insurance Company (Form# CPCEMA497).