| 00 | Not Available | Retired as of 11/11/2024 |
| 03 | Hospital, Physician, Dental and Drugs | Retired as of 11/11/2024 |
| 04 | Hospital, Physician, Dental | Retired as of 11/11/2024 |
| 05 | Hospital, Physician, Drugs | Retired as of 11/11/2024 |
| 06 | Hospital, Physician | Retired as of 11/11/2024 |
| 07 | Hospital, Dental and Drugs | Retired as of 11/11/2024 |
| 08 | Hospital, Dental | Retired as of 11/11/2024 |
| 09 | Hospital, Drugs | Retired as of 11/11/2024 |
| 11 | Inpatient Hospital Only | Retired as of 11/11/2024 |
| 13 | Physician, Dental and Drugs | Retired as of 11/11/2024 |
| 14 | Physician and Dental | Retired as of 11/11/2024 |
| 15 | Physician and Drugs | Retired as of 11/11/2024 |
| 17 | Dental and Drugs Only | Retired as of 11/11/2024 |
| 24 | Transportation | Retired as of 11/11/2024 |
| 26 | Carrier declared Bankruptcy | Retired as of 11/11/2024 |
| 28 | HMO/Insurance Premium Paid by Medicaid GHIPP Program | Retired as of 11/11/2024 |
| 29 | Skilled Nursing Care | Retired as of 11/11/2024 |
| 31 | Physician Only HMO | Retired as of 11/11/2024 |
| 32 | Pharmacy (PBM) | Retired as of 11/11/2024 |
| 33 | HMO No Maternity | Retired as of 11/11/2024 |