Broker Resources

Find forms and resources to better work with us as you care for your patients.

Medicare

2021 PPO Star Ratings

2021 HMO Star Ratings

2021 Sandhills Medicare Enrollment Request Form

2021 Western NC Medicare Enrollment Request Form

2021 Alignment Medicare Enrollment Request Form

2021 New Hanover Medicare Enrollment Request Form

Scope of Appointment Form

Provider Directory

Online Pharmacy Directory

Pharmacy Directory

2020 Drug Compare

2020 Drug Compare

2020 Drug Compare

2020 Drug Compare

Employer Group

Enrollment Form

Employer Application

RFP Checklist

Medical History Questionnaire - 50 or more employees

Small Group Plan Book

Large Group Book

About FCCI Pamphlet

Sample COCs

HMO

POS

PPO