| Policy Series |
| Series D - MEDICAL EXPENSE BENEFITS |
 |
| 1 |
OPTIONS FOR COVERAGE |
 |
| 2 |
PREFERRED PROVIDER ORGANIZATION (PPO) |
 |
| 3 |
MEDICAL-SURGICAL-PPO SERVICES: IN-NETWORK BENEFITS |
 |
| 4 |
MEDICAL-SURGICAL-NON-PPO SERVICES: INDEMNITY OPTION |
 |
| 5 |
MANAGED PSYCHIATRIC & SUBSTANCE ABUSE BENEFITS |
 |
| 6 |
PHYSICAL MEDICINE MANAGED PPO BENEFIT |
 |
| 7 |
WELL CARE BENEFITS |
 |