Exhibit 3 - Fulfillment Member Packet Offer Form.xlsx
XLSX spreadsheet 119 KB Posted
- Solicitation number
- 26-002
- Issued by
- Orange County, California
About this file
The document is an Excel spreadsheet titled "Exhibit 3 - Fulfillment Member Packet Offer Form" from CalOptima Health, detailing comprehensive pricing and specifications for member packet printing and fulfillment services across multiple healthcare program lines including Medi-Cal, OneCare, and OneCare Flex. The spreadsheet provides extensive detail on packet types, print specifications, postage frequencies, and variable data printing requirements for numerous communication materials such as welcome letters, ID cards, health network selection forms, member handbooks, and various notices. The document includes granular specifications for each packet, including paper type, ink colors, page counts, sizes, finishing requirements, and mailing configurations across different packet categories.
The pricing form includes a detailed breakdown of additional services and incidental costs, with unit pricing for services like onboarding charges, account management fees, PDF hosting, warehousing, inventory storage, document destruction, and variable data printing. The document covers multiple language variations (English, Spanish, Vietnamese) and supports complex fulfillment requirements such as variable data printing with specific data elements like member names, CIN numbers, effective dates, health network information, and PCP details. The packet matrices indicate daily, weekly, monthly, and ad-hoc distribution frequencies, with extensive tracking of packet volumes across different healthcare program segments and packet types, suggesting a sophisticated, multi-channel communication and member engagement strategy.
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Other files
| File | Type | Posted |
|---|---|---|
| 26-002 - Claims Payment and Communication _ Enterprise Print and Fullfillment AutomationRFP - FINAL.pdf | ||
| Exhibit 2 -Sample Project Pricing.xlsx | XLSX spreadsheet | |
| Exhibit 1 -Claims Payment Pricing Sheet.docx | DOCX document | |
| RFP Attachment 4 - Requested Changes and Modifications (RFP).xlsx | XLSX spreadsheet | |
| RFP 26-002 Sample Contract.doc | DOC document |
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Text version
Pricing Offer Form
| Description | Unit Price | Unit Description | Description | Unit Price | Unit Description | |
| Onboarding Charges | Additional/Incidental Costs (Describe Below): | |||||
| Implementation | one time fee | Account Management Fee | per month | |||
| Large Font 20PT Arial | ||||||
| Conversion | per page | |||||
| Rush Order | per order | |||||
| Packets | ||||||
| Programming (New or change request) | per hour | |||||
| Daily Set-Up | PDF Hosting (Optional) | |||||
| Implementation | one time fee | |||||
| Host PFD Archive Files | per piece | |||||
| PDF Archiving | Additional/Incidental Costs (Describe) | |||||
| PDF Development, Coversion to PDF, and submit to CalOptima via secure FTP | per hour | Host PFD Archive Files | per month | |||
| Additional/Incidental Costs (Describe) |
| Warehouse/Inventory | |
| Storage | per pallet |
| Destruction | per pallet |
| Bin Storage | per bin |
| Requested (Cycle/Recycle) | per hour |
| Other (Describe) |
| Receiving | |
| Customer 3rd Party Supplied Product | per order |
| Receiving/Inspections | per item |
| Other (Describe) |
| Retrofit | |
| Insert per piece | per piece |
| Removal per piece | per piece |
| Replacement of piece | per piece |
| Other (Describe) | per piece |
&"Times New Roman,Bold"&10 CalOptima Health's Offer Form
MC Packets Pricing Form
| Medi-Cal (All Langagues) | ||
| Member Packet Number: | POD Print Price | Postage Price |
| 1 | ||
| 2 | ||
| 3 | ||
| 4 | ||
| 6 | ||
| 7 | ||
| 8 | ||
| 10 | ||
| 11 | ||
| 12 | ||
| 13 | ||
| 21 | ||
| 21A | ||
| 22 | ||
| 22A | ||
| 23 | ||
| 27 | ||
| 28 | ||
| 35 | ||
| 77 | ||
| 78 |
| Medi-Cal CCN (All Languages) | ||
| Member Packet Number: | POD Print Price | Postage Price |
| 65 | ||
| 65 ID Card | ||
| 65A | ||
| 67 | ||
| 68 | ||
| 70 | ||
| 70 ID Card | ||
| 71 | ||
| 73 | ||
| 75 |
&"Times New Roman,Bold"&10 CalOptima Health's Member Packets Offer Form
&P
OC Complete Pk Pricing Form
| OneCare (All languages) | ||
| POD Print Price | Postage Price | |
| 49 | ||
| 50 | ||
| 50I | ||
| 51 | ||
| 52 | ||
| 53 | ||
| 54 | ||
| 57 | ||
| 58 | ||
| 59 | ||
| 60 | ||
| 61 | ||
| 62 | ||
| 63 | ||
| 64 | ||
| 66 | ||
| 82 |
&"-,Bold"OneCare Complete Member Packets Offer Form
OC Flex Packets Pricing Form
| OneCare (All Languages) | ||
| POD Print Price | Postage Price | |
| 49 | ||
| 50 | ||
| 50I | ||
| 51 | ||
| 52 | ||
| 53 | ||
| 54 | ||
| 57 | ||
| 58 | ||
| 59 | ||
| 60 | ||
| 61 | ||
| 62 | ||
| 63 | ||
| 64 | ||
| 66 | ||
| 82 |
OneCare Flex Member Packets Offer Form
Medi-Cal ESV_Pk Matrix
| PACKET NAME | MC COD Welcome Letter | MC HN to CODMEDABC Welcome letter | MC Fam Link Welcome Letter | MC AA Welcome | ||||||||
| Letter | MC CHOC 90 Day Notice | MC ID Card | MC Health Network | |||||||||
| Selection Form | HN Selection Form Guide | MC Provider Directory | MC Member Handbook | MC COD NMO | ||||||||
| Invitation | MC HN NMO | |||||||||||
| Invitation | MC HY IHA | PHI | ||||||||||
| Instruction Sheet | PHI Authorization Form | Unable to Reach You Notice | MC Urgent Care Flier | MC Notice of Privacy Practices | Health Information form | Non Discrimination + | ||||||
| Language Tagline Insert | MC SPD Electronic Format Notices | MC Non-SPD Electronic Format Notices | MC Summary of Benefits | MC EPSDT Electronic Format Insert | MC Health Rewards Flier | CalFresh Flier | MC Pocket Folder | MC Large Print ID Card | MC CODMEDA PCP Assignment Notices | SOGI Survey | SOGI FAQs | MC HN SF #9 BRE |
| (Golden Rod) | MC #9 BRE | |||||||||||
| CM-HIF | MC #9 BRE | Outer Envelope | Postage | Frequency |
Pages:4 (1 sheet) SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11".
Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black
Pages:4 (1 sheet) SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11".
Pages:4 (1 sheet) SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11".
Pages: 2 SIZE: 8.5"x 11" PAPER: 20#White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White INK: 2 (PMS 7461 & Black) / 0 Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 44-48 +Self Cover SIZE: 11"x 17" PAPER: 50#Offset INK: 1/1 Black Finishing: Collate, fold and saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". Pages: 100-148 + Cover SIZE: 11" x 17" PAPER: Text: 50# White Cover:65# Opaque;
INK: Text: 1/1 Black Cover: 4 cp/0 w/Full bleeds;
Finish: Collate, Fold & saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11".
SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ Pages: 2 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/1 Black Finishing: Fold to #10.
Pages: 4 (1 sheet) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finishing:
Fold to 8.5" x 11", fold to #10.
SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Finishing:
Fold to #10. Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finishing: Collate, fold & saddle stitch to 8.5" x 11". Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/1 Black Pages: 4 (1 sheet) SIZE: 11" x 17" PAPER: 20# white INK: 1/1 Black Finishing: Fold to 8.5" x 11". SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Pages: 28 + Cover SIZE: 11" x17" PAPER: Text:20# White; Cover:80# Velvet INK: Text:1/1 Black Cover: 4 CP/0 + AQ Coating w/ Partial Bleeds Finishing: Collate, Fold & Saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black 19.5" x 16.75 " folded to 9"x 11-3/8 W/ 2-5-3/8" Pockets and 4-1/8" x 2-7/8" Rectangular Window SIZE: 8.5" x 11" PAPER:20# White INK: 3/0 PMS-7463 + PMS-7461 + Black SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black Finishing: Fold to #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black Finish: Tri-fold to fit #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black
| Finish: Tri-fold to fit #10. | PAPER: 24# Golden Rod Wove |
| INK: 1/0 Black | PAPER: 24# White Wove |
| INK: 1/0 Black | PAPER:24# White wove |
INK: 1 PMS (293U) /0
| PACKET # 1 | CODAUTO WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | X | X | X | X | 10x 12 Vertical- W | ||||||||||||||||||||||
| PRI-035-768 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 2 | CODMEDI ABCWELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 3 | CODPERM WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 4 | SPD WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | X | Printed Window Box | ||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 6 | HN CHANGE REQUEST | X | X | X | X | Printed Window Box | ||||||||||||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 7 | PROVIDER DIRECTORY REQUEST | X | Closed Box | |||||||||||||||||||||||||||||||||
| PRI-035-773 | BPM | D | ||||||||||||||||||||||||||||||||||
| PACKET # 8 | MEMBER HANDBOOK REQUEST | X | X | 9x12 Vert.-C | ||||||||||||||||||||||||||||||||
| PRI-035-767 | S | D | ||||||||||||||||||||||||||||||||||
| PACKET # 10 | FAMILY LINK WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 11 | AUTO ASSIGN WELCOME PACKET | X | X | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 12 | ID CARD CHANGES | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 13 | ID CARD REQUEST | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 21 | HN to COD MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #21A | (ID Card sent seperately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22 | HN TO CODMEDABC MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22A | ID card | |||||||||||||||||||||||||||||||||||
| (Sent separately) | X | 6 x 9 Horizontal - W | ||||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 23 | CHOC AGING OUT NOTICE | X | X | X | X | #10-W | ||||||||||||||||||||||||||||||
| PRI-035-417 | P | M | ||||||||||||||||||||||||||||||||||
| PACKET # 27 | PHI AUTHORIZATION REQUEST FORM | |||||||||||||||||||||||||||||||||||
| X | X | X | #10 - C | |||||||||||||||||||||||||||||||||
| PRI-035-301 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 28 | UNABLE TO REACH YOU NOTICE | X | #10-W | |||||||||||||||||||||||||||||||||
| PRI-035-417 | F | W | ||||||||||||||||||||||||||||||||||
| PACKET # 35 | SOGI SURVEY | X | X | X | #10-W |
PRI-035-417
| PACKET # 77 | MC Large Print ID CARD | X | X | 6 x 9 - W | |||||
| PRI-035-302 (Tint) | F | D | |||||||
| . | PACKET # 78 | CODMEDA PCP Assignment Notices | |||||||
| X | X | #10 - W | |||||||
| PRI-035-417 | S | W | |||||||
| PACKET # 98 | PROBLEM DATA |
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| ES:PRI-039-845 | ||
| EV:PRI-039-846 | EN: PRI-039-951 |
SP:PRI-039-952
VI: PRI-039-953 ES: PRI-039-851
EV:PRI-039-852
ESV: PRI-039-103 EN:PRI-041-559
SP: PRI-041-560
VI: PRI-041-561
Print on Demand (w/ Variable Info) 4-Up: PRI-033-153 Print on Demand
| (w/ Variable Info) | ESVF: PRI-037-105 |
| Print on Demand (w/ Variable Info) | ES: PRI-030-365 |
EV: PRI-030-366
| PRI-030-328 | |
| (Printed Monthly) | EN: PRI-030-335 |
SP: PRI-030-336
VI: PRI-030-337 ES: PRI-037-400
EV: PRI-037-401
ES: PRI-037-393
EV: PRI-037-394
| ES: PRI-036-1346 | |
| EV: PRI-036-1347 | EN: PRI-039-724 |
SP: PRI-039-725
VI: PRI-039-726 EN:PRI-037-792
SP:PRI-037-793
VI:PRI-037-794
Print on Demand (w/ Variable Info) EN: PRI-033-225
SP: PRI-033-226
VI: PRI-033-227
Print on Demand
| (w/ Variable Info) | ES: PRI-036-1005 |
| EV" PRI-036-1006 | EN: PRI-041-346 |
SP: PRI-041-347
VI: PRI-041-348 EN:PRI-037-347
SP:PRI-037-348
VI:PRI-037-349
Print on Demand (W/Variable info) EN: PRI-049-027
SP: PRI-049-028
VI: PRI-049-029 EN: PRI-041-533
SP: PRI-041-534
VI: PRI-041-535 EN: PRI-049-092
SP: PRI-049-093
VI: PRI-049-094
EN:PRI-030-375
SP:PRI-030-376
VI: PRI-030-377 EN: PRI-049-185
SP: PRI-049-186
VI: PRI-049-187
FA: PRI-049-188
KO: PRI-049-189
CH: PRI-049-190
AR: PRI-049-191 EN: PRI-036-1332
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
KO: PRI-036-1336
CH: PRI-036-1337
AR: PRI-036-1338 EN: PRI-036-1138
SP: PRI-036-1139
VI: PRI-036-1140
KO: PRI-036-1141
CH: PRI-036-1142
FA: PRI-036-1143
AR: PRI-036-1144 ESVFKCA: PRI-047-108 PRI-033-153 LP
Print on Demand (w/ Variable Info) EN: PRI-041-218
SP: PRI-041-219
VI: PRI-041-220
Print on Demand (w/ Variable Info) EN: PRI-037-974
SP:PRI-037-975
VI:PRI-037-976
Print on Demand (w/ Variable Info) EN: PRI-037-967
SP: PRI-037-968
VI: PRI-037-969
| PRI-035-177 | PRI-035-471 | |
| E&R: PRI-035-446 and | ||
| ML: PRI-035-450 (QMB) | 6x9 - W: PRI-035-302 |
9x12 - C: PRI-035-303 9x12 - W: PRI-035-304 9x12 Vert.-C PRI-035-767
#10 - C: PRI-035-301
# 10 - W: PRI-035-417
10x 12 Envelope PRI-035-768 Printed Window Box PRI-035-457 A) 11-1/2 x 9-1/2 x 2-3/4 B) 11-1/8 x 8-3/4 x 2-1/2 C) 11-7/8 x 9-1/2 x 3-1/4 Closed Box PRI-035-773 F - First Class S - Standard Class P- Parcel Select BPM- Bound Printed Matter D - Daily W - Weekly M - Monthly Q - Quarterly Y - Yearly B - Bi-Annual
| VDP- Fullfillment vendor needs to print upon receipt of data: | Mailing date, birth month,date 1, date 2, date 3 | Member name, CIN, Effective date, Health network, Health network phone number, date of birth | Member first name & last name, CIN, PCP last name & first name, PCP ID, Health network ID. | Last name, First name, CIN, DOB | First name, Last name, Address 1, Address 2, City, State, Zip, date | First name, Last name, CIN | SP: PRI-036-1139 | Member Name, CIN, DOB, Effective Date, Health Network, HN Phone number | Address block, Mailing date, Effective date, PCP Name, PCP Address, PCP Phone number | |
| l |
Medi-Cal EFK_Pk Matrix
| PACKET NUMBER | PACKET NAME | MC COD Welcome Letter | MC HN to CODMEDABC Welcome letter | MC Fam Link Welcome Letter | MC AA Welcome | |||||||
| Letter | MC CHOC 90 Day Notice | MC ID Card | MC Health Network | |||||||||
| Selection Form | HN Selection Form Guide | MC Provider Directory | MC Member Handbook | MC COD NMO | ||||||||
| Invitation | MC HN NMO | |||||||||||
| Invitation | MC HY IHA | PHI | ||||||||||
| Instruction Sheet | PHI Authorization Form | Unable to Reach You Notice | MC Urgent Care Flier | MC Notice of Privacy Practices | Health Information form | Non Discrimination + | ||||||
| Language Tagline Insert | MC SPD Electronic Format Notice | MC Non-SPD Electronic Format Notice | MC Summary of Benefits | MC EPSDT Electronic Format Insert | MC Health Rewards Flier | CalFresh Flier | MC Pocket Folder | MC Large Print ID card | MC CODMEDA PCP Assingment Notices | SOGI Survey | SOGI FAQs | MC HN SF #9 BRE |
| (Golden Rod) | MC #9 BRE | |||||||||||
| CM-HIF | MC #9 BRE | Outer Envelope | Postage | Frequency | ||||||||
| Pages:4 (1 sheet) |
SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black
| Finishing: folded to 8.5" x11". | SIZE: 8.5"x 11" |
| INK: 1/0 Black | Pages:4 (1 sheet) |
SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11". Pages:4 (1 sheet) SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11". SIZE: 8.5"x 11" PAPER: 20#White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White INK: 2 (PMS 7461 & Black) / 0 Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 44-48 +Self Cover SIZE: 11"x 17" PAPER: 50#Offset INK: 1/1 Black Finishing: Collate, fold and saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". Pages: 88 -100 + Cover SIZE: 11" x 17" PAPER: Text: 50# White Cover:65# Opaque;
INK: Text: 1/1 Black Cover: 4 cp/0 w/Full bleeds;
Finish: Collate, Fold & saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ SIZE: 8.5"x 11" PAPER: 20# White INK: 1/1 Black Finishing: Fold to #10. Pages: 4 (1 sheet) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finishing:
Fold to 8.5" x 11", fold to #10. SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Finishing:
Fold to #10. Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finishing: Collate, fold & saddle stitch to 8.5" x 11". SIZE: 8.5" x 11" PAPER: 20# White INK: 1/1 Black Pages: 4 (1 sheet) SIZE: 11" x 17" PAPER: 20# white INK: 1/1 Black Finishing: Fold to 8.5" x 11". SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Pages: 16 + Cover SIZE: 11" x17" PAPER: Text:20# White; Cover:80# Velvet INK: Text:1/1 Black Cover: 4 CP/0 + AQ Coating w/ Partial Bleeds Finishing: Collate, Fold & Saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black 19.5" x 16.75 " folded to 9"x 11-3/8 W/ 2-5-3/8" Pockets and 4-1/8" x 2-7/8" Rectangular Window SIZE: 8.5" x 11" PAPER:20# White INK: 3/0 PMS-7463 + PMS-7461 + Black SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black Finishing: Fold to #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black Finish: Tri-fold to fit #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black
| Finish: Tri-fold to fit #10. | PAPER: 24# Golden Rod Wove |
| INK: 1/0 Black | PAPER: 24# White Wove |
| INK: 1/0 Black | PAPER:24# White wove |
INK: 1 PMS (293U) /0
| PACKET # 1F | CODAUTO WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | X | X | X | X | 10x 12 Vertical- W | ||||||||||||||||||||||
| PRI-035-768 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 2F | CODMEDI ABCWELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 3F | CODPERM WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 4F | SPD WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | X | Printed Window Box | ||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 6F | HN CHANGE REQUEST | X | X | X | X | Printed Window Box | ||||||||||||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 7F | PROVIDER DIRECTORY REQUEST | X | Closed Box | |||||||||||||||||||||||||||||||||
| PRI-035-773 | BPM | D | ||||||||||||||||||||||||||||||||||
| PACKET # 8F | MEMBER HANDBOOK REQUEST | X | X | 9x12 Vert.-C | ||||||||||||||||||||||||||||||||
| PRI-035-767 | S | D | ||||||||||||||||||||||||||||||||||
| PACKET # 10F | FAMILY LINK WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 11F | AUTO ASSIGN WELCOME PACKET | X | X | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 12F | ID CARD CHANGES | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 13F | ID CARD REQUEST | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 21F | HN to COD MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #21AF | (ID Card sent seperately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22F | HN TO CODMEDABC MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22 AF | ID card | |||||||||||||||||||||||||||||||||||
| (Sent separately) | X | 6 x 9 Horizontal - W | ||||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 23F | CHOC AGING OUT NOTICE | X | X | X | X | #10-W | ||||||||||||||||||||||||||||||
| PRI-035-417 | P | M | ||||||||||||||||||||||||||||||||||
| PACKET # 27F | PHI AUTHORIZATION REQUEST FORM | |||||||||||||||||||||||||||||||||||
| X | X | X | #10 - C | |||||||||||||||||||||||||||||||||
| PRI-035-301 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 28F | UNABLE TO REACH YOU NOTICE | X | #10-W | |||||||||||||||||||||||||||||||||
| PRI-035-417 | F | W | ||||||||||||||||||||||||||||||||||
| PACKET # 35F | SOGI SURVEY | X | X | X | #10-W |
PRI-035-417
| PACKET # 77F | MC Large Print ID CARD | X | X | 6 x 9 - W | |||||
| PRI-035-302 (Tint) | F | D | |||||||
| PACKET # 78F | CODMEDA PCP Assignment Notices | ||||||||
| X | X | #10 - W | |||||||
| PRI-035-417 | S | W | |||||||
| PACKET # 98 | PROBLEM DATA |
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| EF: PRI-039-847 | |||
| EK: PRI-039-848 | FA: PRI-039-954 | ||
| KO: PRI-039-955 | EF:PRI-039-853 | ||
| EK: PRI-039-854 | EFK: PRI-039-231 | FA: PRI-041-562 |
KO: PRI-041-232
Print on Demand (w/ Variable Info) 4-Up: PRI-033-153 Print on Demand (w/ Variable Info) ESVF: PRI-037-105
EKCA: PRI-037-280
| Print on Demand (w/ Variable Info) | EF: PRI-030-367 |
| EK: PRI-030-368 | PRI-030-328 |
| (Printed Monthly) | FA: PRI-030-338 |
| KO:PRI-030-339 | EF: PRI-037-402 |
EK: PRI-037-403
EF: PRI-037-395
EK: PRI-037-396
| EF:PRI-036-1348 | |
| EK:PRI-036-1349 | FA: PRI-039-727 |
| KO: PRI-039-728 | FA: PRI-037-795 |
KO: PRI-037-796
Print on Demand (w/ Variable Info) FA: PRI-033-228
KO:PRI-033-242
Print on Demand (w/ Variable Info) EFK: PRI-036-332
EF: PRI-036-1007
| EK: PRI-036-1008 | FA: PRI-041-349 |
| KO: PRI-041-350 | FA: PRI-037-350 |
KO:PRI-037-351
| Print on Demand (W/Variable info) | FA: PRI-049-030 |
| KO: PRI-049-031 | FA: PRI-041-536 |
| KO: PRI-041-537 | FA: PRI-049-095 |
| KO: PRI-049-096 | FA: PRI-030-378 |
| KO:PRI-030-379 | EN: PRI-049-185 |
SP: PRI-049-186
VI: PRI-049-187
FA: PRI-049-188
KO: PRI-049-189
CH: PRI-049-190
AR: PRI-049-191 EN: PRI-036-1332
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
KO: PRI-036-1336
CH: PRI-036-1337
AR: PRI-036-1338 EN: PRI-036-1138
SP: PRI-036-1139
VI: PRI-036-1140
KO: PRI-036-1141
CH: PRI-036-1142
FA: PRI-036-1143
AR: PRI-036-1144 ESVFKCA: PRI-047-108 PRI-033-153 LP
Print on Demand (w/ Variable Info) FA: PRI-041-221
KO: PRI-041-222
Print on Demand (w/ Variable Info) FA: PRI-037-977
KO: PRI-037-978
Print on Demand (w/ Variable Info) FA:PRI-037-970
KO: PRI-037-971
| PRI-035-177 | PRI-035-471 |
| E&R: PRI-035-446 | |
| 6x9 - W: PRI-035-302 |
9x12 - C: PRI-035-303 9x12 - W: PRI-035-304 9x12 Vert.-C PRI-035-767
#10 - C: PRI-035-301
# 10 - W: PRI-035-417
10x 12 Envelope PRI-035-768 Printed Window Box PRI-035-457 A) 11-1/2 x 9-1/2 x 2-3/4 B) 11-1/8 x 8-3/4 x 2-1/2 C) 11-7/8 x 9-1/2 x 3-1/4 Closed Box PRI-035-773 F - First Class S - Standard Class P- Parcel Select BPM- Bound Printed Matter D - Daily W - Weekly M - Monthly Q - Quarterly Y - Yearly B - Bi-Annual VDP- Fullfillment vendor needs to print upon receipt of data: Mailing date, birth month,date 1, date 2, date 3 Member name, CIN, Effective date, Health network, Health network phone number, date of birth Member first name & last name, CIN, PCP last name & first name, PCP ID, Health network ID. Last name, First name, CIN, DOB First name, Last name, Address 1, Address 2, City, State, Zip, date First name, Last name, CIN
Medi-Cal ECA_Pk Matrix
| PC | PACKET NAME | MC COD Welcome Letter | MC HN to CODMEDABC Welcome letter | MC Fam Link Welcome Letter | MC AA Welcome | |||||||
| Letter | MC CHOC 90 Day Notice | MC ID Card | MC Health Network | |||||||||
| Selection Form | HN Selection Form Guide | MC Provider Directory | MC Member Handbook | MC COD NMO | ||||||||
| Invitation | MC HN NMO | |||||||||||
| Invitation | MC HY IHA | PHI | ||||||||||
| Instruction Sheet | PHI Authorization Form | Unable to Reach You Notice | MC Urgent Care Flier | MC Notice of Privacy Practices | Health Information form | Non Discrimination + | ||||||
| Language Tagline Insert | MC SPD Electronic Format Form | MC Non-SPD Electronic Format Form | MC Summary of Benefits | MC EPSDT Electronic Format Insert | MC Health Rewards Flier | CalFresh Flier | MC Pocket Folder | MC Large Print ID Card | MC CODMEDA PCP Assignment Notices | SOGI Survey | SOGI FAQs | MC HN SF #9 BRE |
| (Golden Rod) | MC #9 BRE | |||||||||||
| CM-HIF | MC #9BRE | Outer Envelope | Postage | Frequency | ||||||||
| Pages:4 (1 sheet) |
SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black
| Finishing: folded to 8.5" x11". | SIZE: 8.5"x 11" |
| INK: 1/0 Black | Pages:4 (1 sheet) |
SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11". Pages:4 (1 sheet) SIZE:11" x 17" PAPER: 20#White INK: 1/1 Black Finishing: folded to 8.5" x11". SIZE: 8.5"x 11" PAPER: 20#White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White INK: 2 (PMS 7461 & Black) / 0 Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 44-48 +Self Cover SIZE: 11"x 17" PAPER: 50#Offset INK: 1/1 Black Finishing: Collate, fold and saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". Pages: 88 -100 + Cover SIZE: 11" x 17" PAPER: Text: 50# White Cover:65# Opaque;
INK: Text: 1/1 Black Cover: 4 cp/0 w/Full bleeds;
Finish: Collate, Fold & saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11".
SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ SIZE: 8.5"x 11" PAPER: 20# White INK: 1/1 Black Finishing: Fold to #10. Pages: 4 (1 sheet) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finishing:
Fold to 8.5" x 11", fold to #10. SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Finishing:
Fold to #10. Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11" x 17" PAPER: 20# White INK: 1/1 Black Finishing: Collate, fold & saddle stitch to 8.5" x 11". SIZE: 8.5" x 11" PAPER: 20# White INK: 1/1 Black Pages: 4 (1 sheet) SIZE: 11" x 17" PAPER: 20# white INK: 1/1 Black Finishing: Fold to 8.5" x 11". SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Pages: 16 + Cover SIZE: 11" x17" PAPER: Text:20# White; Cover:80# Velvet INK: Text:1/1 Black Cover: 4 CP/0 + AQ Coating w/ Partial Bleeds Finishing: Collate, Fold & Saddle stitch to 8.5" x 11", trim to 8-3/8" x 10-7/8". SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black 19.5" x 16.75 " folded to 9"x 11-3/8 W/ 2-5-3/8" Pockets and 4-1/8" x 2-7/8" Rectangular Window SIZE: 8.5" x 11" PAPER:20# White INK: 3/0 PMS-7463 + PMS-7461 + Black SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black Finishing: Fold to #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black Finish: Tri-fold to fit #10. Page: 2 Size: 8.5" x 11"(1 Sheet) Paper:20# White or 50# Offset INK: 1/1 Black
| Finish: Tri-fold to fit #10. | PAPER: 24# Golden Rod Wove |
| INK: 1/0 Black | PAPER: 24# White Wove |
| INK: 1/0 Black | PAPER:24# White wove |
INK: 1 PMS (293U) /0
| PACKET # 1C | CODAUTO WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | X | X | X | X | 10x 12 Vertical- W | ||||||||||||||||||||||
| PRI-035-768 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 2C | CODMEDI ABCWELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 3C | CODPERM WELCOME PACKET | |||||||||||||||||||||||||||||||||||
| X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||||
| PRI-035-304 (Tint) | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 4C | SPD WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | X | Printed Window Box | ||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 6C | HN CHANGE REQUEST | X | X | X | X | Printed Window Box | ||||||||||||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||||||||||||
| PACKET # 7C | PROVIDER DIRECTORY REQUEST | X | Closed Box | |||||||||||||||||||||||||||||||||
| PRI-035-773 | BPM | D | ||||||||||||||||||||||||||||||||||
| PACKET # 8C | MEMBER HANDBOOK REQUEST | X | X | 9x12 Vert.-C | ||||||||||||||||||||||||||||||||
| PRI-035-767 | S | D | ||||||||||||||||||||||||||||||||||
| PACKET # 10C | FAMILY LINK WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 11C | AUTO ASSIGN WELCOME PACKET | X | X | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 12C | ID CARD CHANGES | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 13C | ID CARD REQUEST | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 21C | HN to COD MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #21AC | (ID Card sent seperately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22C | HN TO CODMEDABC MOVE | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||||||||||||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET #22 AC | ID card | |||||||||||||||||||||||||||||||||||
| (Sent separately) | X | 6 x 9 Horizontal - W | ||||||||||||||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 23C | CHOC AGING OUT NOTICE | X | X | X | X | #10-W | ||||||||||||||||||||||||||||||
| PRI-035-417 | P | M | ||||||||||||||||||||||||||||||||||
| PACKET # 27C | PHI AUTHORIZATION REQUEST FORM | |||||||||||||||||||||||||||||||||||
| X | X | X | #10 - C | |||||||||||||||||||||||||||||||||
| PRI-035-301 | F | D | ||||||||||||||||||||||||||||||||||
| PACKET # 28C | UNABLE TO REACH YOU NOTICE | X | #10-W | |||||||||||||||||||||||||||||||||
| PRI-035-417 | F | W | ||||||||||||||||||||||||||||||||||
| PACKET #35C | SOGI SURVEY | X | X | X | #10-W |
PRI-035-417
| PACKET # 77C | MC Large Print ID CARD | X | X | 6 x 9 - W | |||||
| PRI-035-302 (Tint) | F | D | |||||||
| PACKET # 78C | CODMEDA PCP Assignment Notices | ||||||||
| X | X | #10 - W | |||||||
| PRI-035-417 | S | W | |||||||
| PACKET # 98 | PROBLEM DATA |
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| EC: PRI-039-849 | |||
| EA: PRI-039-850 | CH: PRI-039-956 | ||
| AR: PRI-039-957 | EC:PRI-039-855 | ||
| EA: PRI-039-856 | ECA: PRI-039-523 | CH: PRI-041-563 |
AR: PRI-041-564
Print on Demand (w/ Variable Info) 4-Up: PRI-033-153 Print on Demand
| (w/ Variable Info) | EKCA: PRI-037-280 |
| Print on Demand (w/ Variable Info) | EC: PRI-030-369 |
| EA: PRI-030-370 | PRI-030-328 |
| (Printed Monthly) | CH: PRI-030-341 |
| AR:PRI-030-340 | EC: PRI-037-404 |
EA: PRI-037-405
EC: PRI-037-397
EA: PRI-037-398
| EC: PRI-036-1350 | |
| EA: PRI-036-1351 | CH: PRI-039-730 |
| AR: PRI-039-729 | CH: PRI-037-797 |
AR: PRI-037-798
Print on Demand (w/ Variable Info) CH: PRI-033-269
AR:PRI-033-270
Print on Demand (w/ Variable Info) ECA:PRI-036-568
EC:PRI-036-1009
| EA: PRI-036-1010 | CH: PRI-041-352 |
| AR: PRI-041-351 | CH: PRI-037-352 |
AR:PRI-037-353
| Print on Demand (W/Variable info) | CH: PRI-049-033 |
| AR: PRI-049-032 | CH: PRI-041-539 |
| AR: PRI-041-538 | CH: PRI-049-098 |
| AR: PRI-049-097 | CH:PRI-030-380 |
| AR: PRI-030-381 | EN: PRI-049-185 |
SP: PRI-049-186
VI: PRI-049-187
FA: PRI-049-188
KO: PRI-049-189
CH: PRI-049-190
AR: PRI-049-191 EN: PRI-036-1332
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
KO: PRI-036-1336
CH: PRI-036-1337
AR: PRI-036-1338 EN: PRI-036-1138
SP: PRI-036-1139
VI: PRI-036-1140
KO: PRI-036-1141
CH: PRI-036-1142
FA: PRI-036-1143
AR: PRI-036-1144 ESVFKCA: PRI-047-108 PRI-033-153 LP
Print on Demand (w/ Variable Info) CH: PRI-041-223
AR: PRI-041-224
Print on Demand (w/ Variable Info) CH: PRI-037-979
AR:PRI-037-980
Print on Demand
| (w/ Variable Info) | CH:PRI-037-972 | |
| AR: PRI-037-973 | PRI-035-177 | PRI-035-471 |
| E&R: PRI-035-446 | 6x9 - W: PRI-035-302 |
9x12 - C: PRI-035-303 9x12 - W: PRI-035-304 9x12 Vert.-C PRI-035-767
#10 - C: PRI-035-301
# 10 - W: PRI-035-417
10x 12 Envelope PRI-035-768 Printed Window Box PRI-035-457 A) 11-1/2 x 9-1/2 x 2-3/4 B) 11-1/8 x 8-3/4 x 2-1/2 C) 11-7/8 x 9-1/2 x 3-1/4 Closed Box PRI-035-773 F - First Class S - Standard Class P- Parcel Select BPM- Bound Printed Matter D - Daily W - Weekly M - Monthly Q - Quarterly Y - Yearly
VDP- Fullfillment vendor needs to print upon receipt of data: Mailing date, birth month,date 1, date 2, date 3 Member name, CIN, Effective date, Health network, Health network phone number, date of birth Member first name & last name, CIN, PCP last name & first name, PCP ID, Health network ID. Last name, First name, CIN, DOB First name, Last name, Address 1, Address 2, City, State, Zip, date First name, Last name, CIN
CCN ESV_Pk Matrix
| PACKET NUMBER | PACKET NAME | MC CCN New Member Welcome Letter | MC CODAUTO-CCN | |||||
| Welcome Letter | MC CCN Welcome Letter | MC CCN Welcome | ||||||
| Letter + PCP Instructions | MC CCN Family Link Welcome Letter | MC CCN Foster Care New Member Letter | MC CCN Foster Care Welcome Letter | MC ID Card | MC CCN PCP | |||
| Selection Form | MC Provider Directory | MC Non-SPD Electronic Format Form | MC Health Rewards Flier | CalFresh Fliers | MC HN NMO | |||
| Invitation | MC CCN Foster Care Health Questionnaire | MC CCN Foster Care Resource Card | MC CCN Foster Care FAQ | MC HY IHA | Urgent Care Flier | Notice of Privacy Practices | Health Information Form | MC #9 BRE |
| CM-HIF | MC #9 BRE | Outer Envelope | Postage | Frequency | ||||
| Pages:4 (1 sheet) |
SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: fold to 8.5" x 11". Pages: 2 SIZE: 8.5" x 11" PAPER:20# White INK: 1/0 Black Pages: 8 (2 sheets) SIZE: 17" x 11" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK:1/1 Black Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White
INK: 1 (PMS 7461) / 0
Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". Pages: 1 SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 11" x 17" PAPER: 20# White INK:1/1 Black Finishing: Fold to 8.5" x 11. SIZE: 8.5" x 11" PAPER:100# Cover white offset INK: 1/1 Black + AQ (x2) Finish: Trim to 6" x9" leave flat. Pages: 8 (2 sheets) Size: 17" x 11" PAPER: 20# White INK:1/1 Black Finish: Collate fold & saddle stitch to 8.5" x11". SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". PAPER:24# White wove
INK: 1/0 PMS 293U
| PACKET # 65 | CCN NEW MEMBER WELCOME PACKET | ||||||||||
| X | X | X | X | X | X | X | 9 x 12 Horizontal- C | ||||
| PRI-035-303 | F | D | |||||||||
| PACKET # 65-ID | ID card | ||||||||||
| (sent separately) | X | 6 x 9 Horizontal - W | |||||||||
| PRI-035-302 (Tint) | F | D | |||||||||
| PACKET # 65A | CCN 2ND |
MAILING
| X | X | X | X | Printed window box | ||||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||
| PACKET # 67 | CCN WELCOME PACKET | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET # 68 | CCN FAMILY LINK | X | X | X | X | X | X | X | X | X | Printed window box | |||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||
| PACKET # 70 | CCN-FOSTER CARE NEW MEMBER WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||
| PACKET # 70-ID | (ID Card sent separately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #71 | CCN-FOSTER CARE WELCOME PACKET | X | X | X | X | X | X | X | 9 x 12 Vertical - W | |||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #73 | CCN ID CARD | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #75 | CODAUTO to CCN WELCOME PACKET | X | X | X | X | X | X | 9 x 12 Vertical - W |
PRI-035-304 (Tint)
PACKET # 98 PROBLEM DATA
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| ES: PRI-039-899 | ||
| EV: PRI-039-900 | ES: PRI-039-905 | |
| EV:PRI-039-906 | ES: PRI-039-911 | |
| EV: PRI-039-912 | ES: PRI-039-917 | |
| EV: PRI-039-918 | ES: PRI-039-929 |
EV:PRI-039-930
| ES: PRI-039-935 | |
| EV: PRI-039-936 | EN: PRI-039-1005 |
SP: PRI-039-1006
VI: PRI-039-1007
Print on Demand(w/Variable info) 4-Up: PRI-033-153 Print on Demand (w/ Variable Info) ESVFKCA:
PRI-037-167
| Print on Demand (w/ Variable Info) | PRI-030-328 |
| (Printed Monthly) | EN: PRI-049-092 |
SP: PRI-049-093
VI: PRI-049-094 EN: PRI-036-1332
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
KO: PRI-036-1336
CH: PRI-036-1337
AR: PRI-036-1338 EN: PRI-036-1138
SP: PRI-036-1139
VI: PRI-036-1140
KO: PRI-036-1141
CH: PRI-036-1142
FA: PRI-036-1143
AR: PRI-036-1144 ES: PRI-037-393
EV: PRI-037-394
| ES: PRI-037-745 | |
| EV: PRI-037-746 | EN: PRI-033-307 |
SP: PRI-033-308
VI: PRI-033-309
| ES: PRI-037-751 | |
| EV: PRI-037-752 | ES: PRI-036-1346 |
| EV: PRI-036-1347 | ES: PRI-036-1005 |
| EV: PRI-036-1006 | EN: PRI-041-346 |
SP: PRI-041-347
VI: PRI-041-348 EN: PRI-037-347
SP: PRI-037-348
| VI: PRI-037-349 | PRI-035-471 | E&R: PRI-035-446 and |
| ML: PRI-035-450 (QMB) | 6x9 - W: PRI-035-302 |
9x12 - C: PRI-035-303 9x12 - W: PRI-035-304 Printed window box PRI-035-457 A) 11-1/2 x 9-1/2 x 2-3/4 B) 11-1/8 x 8-3/4 x 2-1/2 C) 11-7/8 x 9-1/2 x 3-1/4 F - First Class S - Standard Class P- Parcel Select D - Daily W - Weekly M - Monthly Q - Quarterly Y - Yearly
VDP- Fullfillment vendor needs to print upon receipt of data: Date, Member first name, Last name Member name, CIN, Effective date, Health network, Health network phone number, date of birth Member first name & last name, CIN, PCP last name & first name, PCP ID, Health network ID.
CCN EFK_Pk Matrix
| PACKET NUMBER | PACKET NAME | MC CCN New Member Welcome Letter | MC CODAUTO-CCN | ||||||
| Welcome Letter | MC CCN Welcome Letter | MC CCN Welcome | |||||||
| Letter + PCP Instructions | MC CCN Family Link Welcome Letter | MC CCN Foster Care New Member Letter | MC CCN Foster Care Welcome Letter | MC ID Card | MC CCN PCP | ||||
| Selection Form | MC Provider Directory | MC Non-SPD Electronic Format Form | MC Health Rewards Flier | CalFresh Flier | MC HN NMO | ||||
| Invitation | MC CCN Foster Care Health Questionnaire | MC CCN Foster Care Resource Card | MC Foster Care FAQ | MC HY IHA | Urgent Care Flier | Notice of Privacy Practices | Health Information Form | MC #9 BRE | MC #9 BRE |
| CM-HIF | Outer Envelope | Postage | Frequency | ||||||
| Pages:4 (1 sheet) |
SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: fold to 8.5" x 11". SIZE: 8.5" x 11" PAPER:20# White INK: 1/0 Black Pages: 8 (2 sheets) SIZE: 17" x 11" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11".
SIZE: 8.5" x 11" PAPER: 20# White INK:1/1 Black Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White
INK: 1 (PMS 7461) / 0
Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 11" x 17" PAPER: 20# White INK:1/1 Black Finishing: Fold to 8.5" x 11. SIZE: 8.5" x 11" PAPER:100# Cover white offset INK: 1/1 Black + AQ (x2) Finish: Trim to 6" x9" leave flat. Pages: 8 (2 sheets) Size: 17" x 11" PAPER: 20# White INK:1/1 Black Finish: Collate fold & saddle stitch to 8.5" x11". SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black
| Finish: Collate, fold & saddle stitch to 8.5" x 11". | PAPER:24# White wove | ||||||||||
| INK: 1/0 PMS 293U | CM-HIF | ||||||||||
| PACKET # 65F | CCN NEW MEMBER WELCOME PACKET | ||||||||||
| X | X | X | X | X | X | X | 9 x 12 Horizontal- C | ||||
| PRI-035-303 | F | D | |||||||||
| PACKET # 65F- ID | ID card | ||||||||||
| (sent separately) | X | 6 x 9 Horizontal - W | |||||||||
| PRI-035-302 (Tint) | F | D | |||||||||
| PACKET # 65AF | CCN 2ND |
MAILING
| X | X | X | X | Printed window box | ||||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||
| PACKET # 67F | CCN WELCOME PACKET | X | X | X | X | 9 x 12 Vertical - W | ||||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET # 68F | CCN FAMILY LINK | X | X | X | X | X | X | X | X | X | Printed window box | |||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||||
| PACKET # 70F | CCN-FOSTER CARE NEW MEMBER WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||||
| PACKET # 70F-ID | (ID Card sent separately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #71F | CCN-FOSTER CARE WELCOME PACKET | X | X | X | X | X | X | X | 9 x 12 Vertical - W | |||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #73F | CCN ID CARD | X | 6 x 9 Horizontal - W | |||||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||||
| PACKET #75F | CODAUTO to CCN WELCOME PACKET | X | X | X | X | X | X | 9 x 12 Vertical - W |
PRI-035-304 (Tint)
PACKET # 98 PROBLEM DATA
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| EF: PRI-039-901 | ||
| EK: PRI-039-902 | EF: PRI-039-907 | |
| EK: PRI-039-908 | EF: PRI-039-913 | |
| EK: PRI-039-914 | EF: PRI-039-919 | |
| EK: PRI-039-920 | EF:PRI-039-931 |
EK:PRI-039-932
| EF: PRI-039-937 | |
| EK:PRI-039-938 | FA: PRI-039-1008 |
KO: PRI-039-1009
Print on Demand(w/Variable info) 4-Up: PRI-033-153 Print on Demand
| (w/ Variable Info) | ESVFKCA: PRI-037-167 |
| Print on Demand (w/ Variable Info) | PRI-030-328 |
| (Printed Monthly) | FA: PRI-049-095 |
| KO: PRI-049-096 | EN: PRI-036-1332 |
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
KO: PRI-036-1336
CH: PRI-036-1337
AR: PRI-036-1338 EN: PRI-036-1138
SP: PRI-036-1139
VI: PRI-036-1140
KO: PRI-036-1141
CH: PRI-036-1142
FA: PRI-036-1143
AR: PRI-036-1144 EF: PRI-037-395
EK: PRI-037-396
| EF: PRI-037-747 | ||
| EK: PRI-037-748 | FA: PRI-033-310 | |
| KO: PRI-033-311 | EF: PRI-037-753 | |
| EK: PRI-037-754 | EF:PRI-036-1348 | |
| EK:PRI-036-1349 | EF: PRI-036-1007 | |
| EK:PRI-036-1008 | FA:PRI-041-349 | |
| KO: PRI-041-350 | FA: PRI-037-350 | |
| KO: PRI-037-351 | E&R: PRI-035-446 and | |
| ML: PRI-035-450 (QMB) | PRI-035-471 | 6x9 - W: PRI-035-302 |
9x12 - C: PRI-035-303 9x12 - W: PRI-035-304 Printed window box PRI-035-457 A) 11-1/2 x 9-1/2 x 2-3/4 B) 11-1/8 x 8-3/4 x 2-1/2 C) 11-7/8 x 9-1/2 x 3-1/4 F - First Class S - Standard Class P- Parcel Select D - Daily W - Weekly M - Monthly Q - Quarterly Y - Yearly
VDP- Fullfillment vendor needs to print upon receipt of data: Date, Member first name, Last name Member name, CIN, Effective date, Health network, Health network phone number, date of birth Member first name & last name, CIN, PCP last name & first name, PCP ID, Health network ID.
CCN ECA Pk Matrix
| PACKET NUMBER | PACKET NAME | MC CCN New Member Welcome Letter | MC CODAUTO-CCN | |||||
| Welcome Letter | MC CCN Welcome Letter | MC CCN Welcome | ||||||
| Letter + PCP Instructions | MC CCN Family Link Welcome Letter | MC CCN FosterCare New Member Letter | MC CCN Foster Care Welcome Letter | MC ID Card | MC CCN PCP | |||
| Selection Form | MC Provider Directory | MC Non-SPD Electronic Format Form | MC Health Rewards Flier | CalFresh Flier | MC HN NMO | |||
| Invitation | MC CCN Foster Care Health Questionnaire | MC Foster Care Resource Card | MC CCN Foster Care FAQ | MC HY IHA | Urgent Care Flier | Notice of Privacy Practices | Health Information Form | MC #9 BRE |
| CM-HIF | MC #9 BRE | Outer Envelope | Postage | Frequency | ||||
| Pages:4 (1 sheet) |
SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: fold to 8.5" x 11". SIZE: 8.5" x 11" PAPER:20# White INK: 1/0 Black Pages: 8 (2 sheets) SIZE: 17" x 11" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11".
SIZE: 8.5" x 11" PAPER: 20# White INK:1/1 Black Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 17" x 11" PAPER:20# White INK: 1/1 Black Finish: Fold to 8.5" x 11". SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 8.5"X 11" PAPER: 65# Cougar Opaque INK: 2 (PMS 7463 & PMS 7461) / 1 (Black) Finishing: Trim, Score in the middle at 5.5" & Micro perf 4 cards & leave flat.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 4 records per shell, if 5 or more members are family-linked, multiple shells are required.) SIZE: 8.5"x 11" PAPER: 20# White
INK: 1 (PMS 7461) / 0
Finishing: Sequential numbering printed in black to be provided upon issuance of PO.
(Static shells printed first, when data file is received shells are pulled from inventory for VDP. Up to 6 records per shell, if 7 or more members are family-linked, multiple shells are required.) Pages: 1200-1700 SIZE: 8.5" x 11" PAPER: Text: 20.9 # Norbrite; Cover stock: 65# Opaque INK: Text: 1/1 Black;
Cover: 2 (PMS 7461 + Black) / 0 w/Full bleeds Finish: Collate, perfect bind, trim to 8-3/8" x 10-7/8". SIZE: 8.5"x 11" PAPER: 20# Green INK: 1/0 Black Page: 1 SIZE: 8.5"x 11" PAPER: 20# White INK: 1/0 Black Pages: 2 SIZE: 8.5" x 11" PAPER: 20# White INK: 1/0 Black SIZE: 25.5" x 11" PAPER: 70# Offset INK: 3/3 (PMS 7461 +7463 +Black) w/Partial Bleeds Finish: 1 vertical perf, 3 remoistenable glue strips to mailiing panel (bottom), tri-fold to 8.5" x 11". Pages:4 (1 sheet) SIZE: 11" x 17" PAPER: 20# White INK:1/1 Black Finishing: Fold to 8.5" x 11. SIZE: 8.5" x 11" PAPER:100# Cover white offset INK: 1/1 Black + AQ (x2) Finish: Trim to 6" x9" leave flat. Pages: 8 (2 sheets) Size: 17" x 11" PAPER: 20# White INK:1/1 Black Finish: Collate fold & saddle stitch to 8.5" x11". SIZE: 8.5" x 11" PAPER: 70# Dull text INK: 2/2 (PMS 7463 + Black) W/Full Bleeds+ AQ Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". Pages: 8 (2 sheets) SIZE: 11"x 17" PAPER: 20# White INK: 1/1 Black Finish: Collate, fold & saddle stitch to 8.5" x 11". PAPER:24# White wove
INK: 1/0 PMS 293U
| PACKET # 65C | CCN NEW MEMBER WELCOME PACKET | |||||||||
| X | X | X | X | X | X | X | 9 x 12 Horizontal- C | |||
| PRI-035-303 | F | D | ||||||||
| PACKET # 65C- ID | ID card | |||||||||
| (sent separately) | X | 6 x 9 Horizontal - W | ||||||||
| PRI-035-302 (Tint) | F | D | ||||||||
| PACKET # 65AC | CCN 2ND |
MAILING
| X | X | X | X | Printed window box | ||||||||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||
| PACKET # 67C | CCN WELCOME PACKET | X | X | X | 9 x 12 Vertical - W | |||||||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||
| PACKET # 68C | CCN FAMILY LINK | X | X | X | X | X | X | X | X | Printed window box | ||||||||||||||
| PRI-035-457 | P | D | ||||||||||||||||||||||
| PACKET # 70C | CCN-FOSTER CARE NEW MEMBER WELCOME PACKET | X | X | X | X | X | X | X | X | X | X | X | X | X | 9 x 12 Horizontal- C | |||||||||
| PRI-035-303 | F | D | ||||||||||||||||||||||
| PACKET # 70C- ID | (ID Card sent separately) | X | 6 x 9 Horizontal - W | |||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||
| PACKET #71C | CCN-FOSTER CARE WELCOME PACKET | X | X | X | X | X | X | X | 9 x 12 Vertical - W | |||||||||||||||
| PRI-035-304 (Tint) | F | D | ||||||||||||||||||||||
| PACKET #73C | CCN ID CARD | X | 6 x 9 Horizontal - W | |||||||||||||||||||||
| PRI-035-302 (Tint) | F | D | ||||||||||||||||||||||
| PACKET #75C | CODAUTO to CCN WELCOME PACKET | X | X | X | X | X | X | 9 x 12 Vertical - W |
PRI-035-304 (Tint)
PACKET # 98 PROBLEM DATA
(No Packet Mailed)
PACKET # 99 INVALID ADDRESS
(No Packet Mailed)
| EC: PRI-039-903 | ||
| EA: PRI-039-904 | EC: PRI-039-909 | |
| EA: PRI-039-910 | EC: PRI-039-915 | |
| EA: PRI-039-916 | EC: PRI-039-921 | |
| EA: PRI-039-922 | EC: PRI-039-933 |
EA: PRI-039-934
| EC: PRI-039-939 | |
| EA: PRI-039-940 | CH: PRI-039-1010 |
AR: PRI-039-1011
Print on Demand(w/Variable info) 4-Up: PRI-033-153 Print on Demand
| (w/ Variable Info) | ESVFKCA: PRI-037-167 |
| Print on Demand (w/ Variable Info) | PRI-030-328 |
| (Printed Monthly) | CH: PRI-049-098 |
| AR: PRI-049-097 | EN: PRI-036-1332 |
SP: PRI-036-1333
VI: PRI-036-1334
FA: PRI-036-1335
K…
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