Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Supplies
            2017 Application  (243 kb)
      To be used for current Medica members requesting an Off-Market plan change or termination.
            2017 NE Change Applicaton  (1041 kb)
            2017 NE Medica Insure Product Brochure  (6258 kb)
            2017 NE Rate Guide  (691 kb)
            2017 SEP Guide  (103 kb)
      Please complete for all On-Market applicants.
            Attestation Form  (72 kb)
            Payment Options Form  (162 kb)
            Medical Claim Form  (1069 kb)
            Prescription Claim Form  (103 kb)
      To be used for current Medica members requesting an Off-Market plan change.
            2017 IA Change Application  (1040 kb)
            2017 IA Medica Insure Product Brochure  (5070 kb)
            2017 IA Rate Guide  (822 kb)
            NE Rating Regions  (143 kb)
            IA Rating Regions  (224 kb)
            SEP Supporting Documentation Requirements  (13 kb)
            Health Advocate Flyer  (417 kb)
            Nurse Line Flyer  (712 kb)
            Healthy Living Flyer  (559 kb)
            Comparing Plan Types  (279 kb)
            Words to Know  (423 kb)
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