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Lead Contact for Insurance
& Employee Benefit Programs

Larry Janicki

MMASC President

800-253-9039 ext. 556
517-853-3356 (fax)

Insurance > Forms

Use the links below to download and print the forms you need. Some of these forms, benefit booklets and dental cards are available pre-printed from MMA. Just fill out and return the MMA Supply Order Form.

MetLife - Dental, Vision, Life, Disability

MetLife Summary Plan Descriptions (SPD) and Annual Reports

Summary Annual Reports - Plan Year Ending May 31, 2016

MetLife Enrollment / Change Forms

MetLife Dental Forms

MetLife Vision Forms

MetLife Basic Life Forms

MetLife Supplemental Life Forms

MetLife Disability Forms

For additional assistance, contact your MMA/MetLife Insurance Processor listed to the right.

Superior Vision

For additional assistance, contact Jesse Rulli by email or phone.  
jrulli@visionplans.com   or   800-883-5747 ext 2267

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.

For additional assistance, contact Kelli Zussman by email or phone.
mma@grabenefits.com   or   800-678-4456

Electronic Premium Payment Options

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.


Member Discount

Save on over 1 million products!

Plus here is a special offer
on your first purchase!

New Labor Law Poster

Federal mandated updates required new posters early 2017. Members can order theirs at a discount on our website.

MMA Compliance Protection Plan subscribers automatically receive new posters when updates are required.


  MMA MetLife
  Insurance Processors

  Your company name 
  starts with:

  Diane Sherman
  p 517-487-8524
  f  517-853-3324

  Louann Ticnor
  p 517-487-8531
  f  517-853-3331

  Betsy Romankewiz
  p 517-487-8514
  f  517-853-3314

  Life Claims &
  Key Life
  Gin Salmon
  p 517-487-8525
  f  517-853-3325

  General Phone Line
  p 800-842-6513

Your MMA/MetLife Invoice

Check out the great changes to your MMA/MetLife invoice!

Health Care Claims Tax

The Health Insurance Claims Assessment Tax (HICA) goes into effect January 1, 2012. Most medical claims including medical care, hospitalization, prescriptions, vision and dental claims will fall under this tax. MMA members who participate in our MetLife dental insurance programs received this notice and a copy of the MetLife HICA FAQ in their January, 2012 invoice.

July 2014 update.