Program Documents
Employee Benefits Program Booklet
Employee Benefits Program Agreement, July 1, 2009
Notice Of Privacy Practices
MMIA Group Basic Life and AD&D
MMIA Voluntary Group Life and AD&D
MMIA Group Basic Life and AD&D Certificate
Form: Authorization for Release of Information
Form: Benefits Termination
Form: Initial Enrollment
Form: Enrollment Change
Form: Vision Out-of-Network Claim Reimbursement
Form: Prescription Drug Claims
Notice: COBRA
Notice: HIPAA - Creditable Coverage
Notice: Newborns
Notice: Medicare and Prescriptions
Notice: Women's Health and Cancer Rights Act
Employee Assistance Program