Instructions for Group Coverage

1.  Print out all the necessary forms.

    A.  AMA Employer Group App 9-03

    B. AMA Group Employee App under 500

    C.  Waiver of pre-existing conditions if applying for a group of over 100 lives

2.    Completely fill out the Employer Group Application (Failure to completely and correctly fill out forms may result in delay of requested coverage effective date)

    NOTE:  IF YOUR GROUP HAS OVER 100 LIVES, FILL OUT THE WAIVER OF PRE-EXISTING CONDITIONS

3.    Have Employees fill out the AMA Group Employee Application

4.      Mail all completed forms with check or Money order made payable to:                   

            American Benefit Administrative Services, Inc.

            6140 28th St. SE

            Suite 200

            Grand Rapids, MI   49546

 

*  If you have any questions or need help filling out the forms please call MagnaCare at 1-800-278-2323.  Thank you