MorganWhite Group

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BROKER SUPPORT

Policy-Specific Forms and Information

Lloyd's Worldwide Medical Trust
The New World Plan *(Islands Only)*
Complete Policy	English
Brochure	English
Application	English
Region 4 Rates (Bahamas only)	English
Region 5 Rates (All other Caribbean Islands)	English
Emerald Plan
Complete Policy	English
Brochure	English
Application	English
Region 1 Rates, 1 Year	English
Region 1 Rates, 2 Years	English
Region 2 Rates, 1 Year	English
Region 2 Rates, 2 Years	English
Worldwide Medical Trust Plan
Complete Policy	English
Brochure	English
Application	English
Region 1 Rates, 1 Year	English
Region 1 Rates, 2 Years	English
Region 2 Rates, 1 Year	English
Region 2 Rates, 2 Years	English
Bahamian American Plan (Bahamas Only)
Complete Policy	English
Brochure	English
Application	English
Region 1 Rates, 1 Year	English
Region 1 Rates, 2 Years	English
Medic-Care Plus Individual Plan (Bahamas Only)
Complete Policy	-
Application	English
Brochure	English
Silver Medical Plan (Islands Only)
Complete Policy	English
Brochure	English
Application	English
Region 1 Rates, 1 Year	English
Region 1 Rates, 2 Years	English
The Executive Disability Policy (Individual)
Complete Policy	English
Brochure	English
Application	English
Rate Table	English
Caribbean American Plan *(Islands Only)*
Complete Policy	English
Brochure	English
Application	English
Region 1 Rates, 1 Year	English
Region 1 Rates, 2 Years	English

AmFirst Insurance Company, Ltd.
AmFirst New World Plan *(British Virgin Islands Only)*
Complete Policy	English
Brochure	English
Application	English
Rates (BVI)	English

FORMS LIBRARY

General Forms
Optional Coverage Available	English
Credit Card Payment Authorization	English
Verfication of Student Status	English
Application to Add a Dependent	English
Application for Reinstatement	English
Health Claims Form	English
Wire Transfer Request	English & Spanish
Pre-Certification Guidelines	English
Policy Changes Form	English
Policy Change Acknowledgement	English
Application to Request Review of Exclusions and/or Limitations	English
Wire Transfer Form for Claim Payments	English & Spanish

Claims Information

Claims Forms
Claims Procedures	Egnlish
Medical Release Form	English
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	English
Optima Network Hospital List	English
Super Special Network Hospital List	English
International Hospitals and Contracts with Morgan-White	English
Hospital Network List	English
Super Special Hospitals New Benefits	-