California Document Library

California Forms and Important Documents		Small Group Medical Plans Available Beginning 6/1/09
Small Group Membership Application (PDF) Small Group Underwriting Guidelines (PDF) CIGNA Dental Brochure for Small Business 2-50 (PDF) CIGNA Dental - Underwriting Guidelines (PDF) CIGNA Dental - Los Angeles Zip Codes (PDF) CIGNA Dental - San Diego Zip Codes (PDF) Employer Application (PDF) Medical and Dental Underwriting Checklist (PDF) Sole Proprietor, Partner or Corporate Officer Statement (PDF) Open Access Plus Brochure (PDF) POS Brochure (PDF)		OAP-O (PDF) OAP-L (PDF) POS-G (PDF) POS-I (PDF)
Mandatory Open Enrollment Employee Forms		Additional Medical Open Enrollment Form for Groups 2-15 Employees
CIGNA Language Assistance Survey (PDF) Group Enrollment/Change Form (PDF) Declination of Medical/Dental Coverage Form (PDF)		Health Statement (PDF)
California Benefit Summaries for Dental plans
Dental HMO F1-06 (PDF) Dental HMO K1-06 (PDF) Dental HMO W1-06 (PDF) Dental PPO - Standard Incentive Plan (PDF) Dental PPO - Combined Choice (PDF) Dental PPO - High Option (PDF) Dental PPO - Platinum (PDF)