MMA: Insurance & Benefits: Forms

Insurance & Benefits

Forms for Administering Your Insurance and Benefit Programs

MetLife (Dental, Life, Disability)

Additional forms can be ordered from MMA with the MMA Supply Form [pdf file] 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.

MMA Electronic Payment Options (EFT) [pdf file]

Spectera (Vision)

Program Information

Spectera Marketing Brochure [pdf file]
Managed Vision Care Program Description [pdf file]
MMA Rates [pdf file]
Certificate of Coverage for Premium [pdf file]
Certificate of Coverage for Premium Plus [pdf file]

Agent - New Business Forms

Sold Case Guidelines [pdf file]
Agent Profile Form [pdf file]
W-9 Form [pdf file]

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 Web site.

MMA Electronic Payment Options (EFT) [pdf file]

You will need Adobe Acrobat Reader to view the forms.

If you experience problems downloading these documents, we recommend updating your browser to the latest version of Explorer or Netscape. Contact the MMA Webmaster at 517-487-8515 if you have additional questions.

How do MMA’s insurance dividend programs work?

MMA offers a dividend program on its workers’ compensation and commercial package policies through Amerisure. Each year, depending on market conditions and plan experience rates, dividends may be issued to plan participants based on earned premium. Payouts of $800,000 were made in 2001, and total more than $17 million over the past 11 years. Commercial package dividends have averaged 14%, and workers’ compensation 9%, for the 15 years the program has been in effect.

What does MMA do to keep insurance rates down?

The group buying power of nearly 3,000 companies means that members of MMA can take advantage of more competitive insurance programs and rates. MMA, in partnership with its service providers, works to hold rates as low as possible through excellent program management and aggressive loss control initiatives. MMA’s life insurance program rates, for instance, have not increased for the past 14 years.

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Insurance & Benefits

Forms for Administering Your Insurance and Benefit Programs

MetLife (Dental, Life, Disability)

Summary Annual Reports Plan Year ending May 31, 2007

Administration Forms

Agent - New Business Forms

MMA Electronic Payment Options (EFT) [pdf file]

Spectera (Vision)

Blue Cross Blue Shield (Health)

MMA Electronic Payment Options (EFT) [pdf file]

You will need Adobe Acrobat Reader to view the forms.

How do MMA’s insurance dividend programs work?

What does MMA do to keep insurance rates down?

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Summary Annual Reports
Plan Year ending May 31, 2007