Version Download 3022 File Count 8 Last Updated October 2, 2025 8 files 2026 Form Enrollment Application SNP280.54 KBDownload2026 Form Enrollment Application HMO PPO244.77 KBDownloadSmartHMO H5296-0063.79 MBDownloadPlatinum Select H5296-0103.79 MBDownloadNC Duals H5296-0044.02 MBDownloadAVA H70743.71 MBDownloadHeart & Diabetes NCPlus H5296-0094.02 MBDownloadHeart & Diabetes Care H5296-0114.02 MBDownload Download All