The documents on this page are for reference only. They have been superseded by other documents.
| CC Model Notices for use prior to May 15, 2006 | Model General Non-Creditable Coverage Notice - Spanish | 12/01/2005 |
| CC Model Notices for use prior to May 15, 2006 | Model General Non-Creditable Coverage Notice | 12/01/2005 |
| CC Model Notices for use prior to May 15, 2006 | Model General Creditable Coverage Notice - Spanish | 12/01/2005 |
| CC Model Notices for use prior to May 15, 2006 | Model General Creditable Coverage Notice | 12/01/2005 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Personalized Disclosure Notice Language for use on or after May 15, 2006 | 04/21/2006 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Non-Creditable Coverage Disclosure Notice Language for use on or after May 15 | 04/21/2006 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Creditable Coverage Disclosure Notice Language for use on or after May 15, 2006 | 04/21/2006 |
| CC Model Notices for use after February 15, 2007 | Model Personalized Individual Disclosure Notice - Zipped Word format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - Spanish - Zipped Word format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - Zipped Word format | 02/15/2007 |