Montana Municipal Interlocal Authority

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Program Documents

Spring 2013 Open Enrollment Visit Schedule - updated 4/16 Webinar: Open Enrollment Presentation Open Enrollment Clerks' Packet EB Administration Handbook Form: Enrollment - New, Termination or Changes Form: Physician Screening Results Sign Off Form: Domestic/International Claim Form Form: Prescription Reimbursement Form: Basic Life Beneficiary Form Form: Voluntary Term Life Enrollment Form: Authorization for Release of Information Form: Prescription Drug Claims Form: Vision Out-of-Network Claim Reimbursement Basic Life and AD&D Voluntary Life and AD&D Voluntary Term Life Certificate Notice Of Privacy Practices Notice: COBRA Notice: HIPAA - Creditable Coverage Notice: Medicare and Prescriptions Notice: Newborns Notice: Women's Health and Cancer Rights Act Employee Benefits Program Booklet Employee Benefits Program Agreement, July 1, 2009 Employee Assistance Program Free 24 Hour Nurse Helpline StarBaby Program StarPoint Hearing Aid Discount Program