Group Health Cooperative - Cooperative Advantage

I would like to speak with a Cooperative Advantage representative to discuss the Cooperative Advantage (HMO I-SNP) or Cooperative Advantage Premium (HMO I-SNP) plans that includes a prescription drug benefit.

Full Name:

Beneficiary or Authorized Representative (if applicable) :

Phone Number:

Email:

Best Time to Call:

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Today's Date:

I agree. Please ask a Cooperative Advantage representative to contact me.

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