Additional forms can be ordered from MMA with the MMA Supply Form or you can download the following forms for easy printing.

If you experience difficulty opening these forms in your browser, you may need to save the document to your computer first. To save, right-click on the link and choose Save Target As to download the form to your computer. If you need further assistance, contact MMA Webmaster at 517-487-8515.

MetLife (Dental, Life, Disability)

Summary Annual Reports

Plan year ending May 31, 2012

• Cover letter
• Plan 501 Group Life
• Plan 502 Dental and STD
• Plan 503 LTD

Administration Forms (all forms are pdf files)

• Insurance Enrollment Form
• Beneficiary Designation Form
• Insurance Change Form
• Conversion of Group Life Benefits to an Individual Policy
• Statement of Health Form
• Buy-up Enrollment Form
• Dental Claim Customer Service Map
• Dental ID Card
• Dental Claim Form
• Short Term Disability Claim Form  
• Long Term Disability Claim Forms
• Employee Statement  
• Employer Statement  
• Attending Physician Statement  

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Superior Vision

• The Superior Difference  
• Benefits of MMA Premium Plan  
• Benefits of MMA Premium Plus Plan  
• Out of Network Claim

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Blue Cross Blue Shield (Health)

Members participating in the MMA-sponsored Blue Cross Blue Shield Program can access forms and other administrative tools for managing your health benefits on the Blue Cross Blue Shield Administration website.

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Electronic Payment Options

• MMA Electronic Payment Options (EFT)

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