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The
following documents are PDF files that require the free Acrobat
Reader software, unless otherwise noted. |
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BROKER
SUPPORT
2010 Online Tracker Rater...
Policy-Specific Forms and Information
| Lloyd's Worldwide Medical
Trust |
| Emerald
Plan |
Complete Policy
|
|
Brochure |
|
Application |
|
Region 1 Rates, 1 Year |
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Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
Power of Attorney |
|
| Worldwide
Medical Trust Plan |
Complete Policy |
|
Brochure |
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
Power of Attorney |
|
| British
American Plan |
Complete Policy
|
|
Brochure |
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
Power of Attorney |
|
| Medic-Care
Plus Individual Plan (Bahamas Only) |
Complete Policy |
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|
Application |
|
Brochure |
|
| Silver
Medical Plan (Islands Only) |
Complete Policy |
|
Brochure |
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Power of Attorney |
|
| The Executive
Disability Policy (Individual) |
Complete Policy |
|
Brochure |
|
Application |
|
Rate Table |
|
Power of Attorney |
|
| AmFirst Insurance Company,
Ltd. |
| The Preferred Medical Plan |
Complete Policy
|
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 3 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 3 Years |
|
| The New American
Plan |
Complete Policy |
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
| Medic-Care
Plus Individual Plan |
Complete Policy |
|
Organ Transplant Benefit |
|
Application |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
| The Silver Plan |
Complete Policy
|
|
Application |
|
Power of Attorney |
|
Region 1 Rates, 1 Year |
|
Region 1 Rates, 2 Years |
|
Region 2 Rates, 1 Year |
|
Region 2 Rates, 2 Years |
|
| Cash Value
Executive Disability Policy |
Complete Policy
|
|
Application |
|
Brochure |
|
Rate Table |
|
FORMS LIBRARY
| General Forms |
Optional Coverage Available
|
|
Credit Card Payment Authorization |
|
Change Mode of Payment |
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Change Deductible |
|
Verfication of Student Status |
|
Application to Add a Dependent |
|
Application for Reinstatement |
|
Health Claims Form |
|
Wire Transfer Request |
|
Pre-Certification Guidelines |
|
Policy Change Acknowledgement |
|
Claims Information
| Claims Forms |
Claims Procedures
|
|
Medical Release Form
|
|
Hospital
Network
Important Information: The
following lists of hospitals are just a few of our Elite / Optima
/ Super Special Hospital networks and this can change at any time
without notice. You must contact Morgan-White Administrators International,
Inc. prior to seeking treatment at any hospital. If the hospital of
your choice is not listed, then contact Morgan-White Administrators
International, Inc. for an alternative. |
Elite Network Hospital List
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Optima Network Hospital List
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Super Special Network Hospital List |
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International Hospitals and Contracts with Morgan-White |
|
Hospital Network List |
|
Super Special Hospitals New Benefits |
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