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Insurance Forms

For best results, download the forms and open in Adobe Acrobat to save and submit.

MetLife Summary Annual Reports (SAR)

Plan year ending May 31, 2016

Summary Plan Description (SPD)

Enrollment/Change

Dental

Vision

Basic Life

Disability Forms

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 at mma@grabenefits.com or 800-678-4456.

Contact Brenda Nalett

Brenda NalettMember Services Manager
Call 517-487-8512
E-mail nalett@mimfg.org