MorganWhite Group

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Policy-Specific Forms and Information

Lloyd's Worldwide Medical Trust
The Executive Disability Policy (Individual)
Complete Policy	English
Brochure	Spanish
Application	English
Rate Table	English
Worldwide Medical Trust Plan
Complete Policy	English
Brochure	English
Application	English
Rate Table (Region 1)	English
Rate Table (Region 2)	English
WMT British American Plan
Complete Policy	English
Brochure	English
Application	English
Rate Table (Region 1)	English
Rate Table (Region 2)	English
Emerald Plan
Complete Policy	English
Brochure	English
Application	Spanish
Rate Table (Region 1)	English
Rate Table (Region 2)	English
WMT Group Disability Plan
Complete Policy	English
Application	English
Brochure	Spanish
Silver Medical Plan
Complete Policy	English
Brochure	English
Application	English
Rate Table (Region 1)	English
Rate Table (Region 2)	English

AmFirst Insurance Company, Ltd.
Medic-Care Plus Individual Plan
Complete Policy (Region 1)	English
Complete Policy (Region 2)	English
Organ Transplant Benefit	English
Brochure	Spanish
Application	English
Rate Table (Region 1)	English
Rate Table (Region 2)	English
Cash Value Executive Disability Policy
Complete Policy	English
Application	English
Brochure	Spanish
Rate Table	English
The New American Plan
Complete Policy (Region 1)	English
Complete Policy (Region 2)	English
Brochure	Spanish
Application	English
Rate Table (Region 1)	English
Rate Table (Region 2)	English

FORMS LIBRARY

General Forms
Optional Coverage Available	English
Credit Card Payment Authorization	English
Change Mode of Payment	English
Change Deductible	English
Verfication of Student Status	English
Application to Add a Dependent	English
Application for Reinstatement	English
Health Claims Form	English
Wire Transfer Request	English
Pre-Certification Guidelines	English
Gynecological Questionnaire	English
Hypertension Questionnaire	English
Initial Physical Exam for Emergencies	English
Medical Questionnaire Regarding Diabetes Mellitus	English

Claims Information

Claims Forms
Claims Procedures	English
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
Super Special Hospitals and Clinic in Latin America	English
Hospital Network List	English
Super Special Hospitals New Benefits	English