Summary of Benefits and Coverage (SBC) and Certificate documents
If you are already a member, you can log into the member portal at https://www.alliedbenefit.com//access/allstatebenefitslogin to access additional documentation specific to your plan.
To locate participating providers and pharmacies, the provider directory can be located at, https://allstatevoluntary.com/fullyinsured/providerdirectory/
Plan Documents
- Sample Certificates
- Texas Standard Prior Authorization Forms
- Florida Gold SBCs - 2024
- Florida Silver SBCs - 2024
- Florida Bronze SBCs - 2024
- Indiana Gold SBCs - 2024
- Indiana Silver SBCs - 2024
- Indiana Bronze SBCs - 2024
- Texas Gold SBCs - 2024
- Texas Silver SBCs - 2024
- Texas Bronze SBCs - 2024
- Florida Gold SBCs - 2025
- Florida Silver SBCs - 2025
- Florida Bronze SBCs - 2025
- Indiana Gold SBCs - 2025
- Indiana Silver SBCs - 2025
- Indiana Bronze SBCs - 2025
- Texas Gold SBCs - 2025
- Texas Silver SBCs - 2025
- Texas Bronze SBCs - 2025
- Missouri Gold SBCs - 2025
- Missouri Silver SBCs - 2025
- Missouri Bronze SBCs - 2025
- Wisconsin Gold SBCs - 2025
- Wisconsin Silver SBCs - 2025
- Wisconsin Bronze SBCs - 2025