Health

Your Provider participates in the network indicated on your insurance card:

1)       You should only be charged your copay or deductible at the time of service.

2)       The provider will submit your claim(s) to the address indicated on your card for processing.

3)       A MEDICAL BENEFITS FORM #733600 must only be completed when further inquiry is needed or for auto-related, work-related, or other accident-related claims.

Your provider does not participates in the network indicated on your insurance card:

1)       If Obtain MEDICAL BENEFITS FORM #733600.  Follow the Employee Instructions on the claim form.  Incomplete information will cause a delay in processing the claim.

2)       Attach all original medical bills to the completed claim form and forward to Group Marketing Services, Inc.

Weekly Disability Income

1)     Obtain a CLAIM FORM - GROUP HEALTH INSURANCE #733600.  Follow the instructions under WEEKLY DISABILITY BENEFITS on how to file a claim.

2)     After the initial disability payments, periodic claim forms will be requested by the Insurance Company to continue disability payments.

Life

1)       The EMPLOYER should complete a CLAIM NOTICE OF DEATH FORM 8971.

2)       Attach a CERTIFIED DEATH CERTIFICATE and forward to Group Marketing Services, Inc.

Where to File

To assure prompt claim service, all claim forms and bills must be mailed directly to:

Group Marketing Services, Inc.

P.O. Box 19040

Kalamazoo, Michigan 49019-0040

Phone (269) 343-2611

ALL CORRESPONDENCES MUST CONTAINS THE EMPLOYEE'S NAME , POLICY NUMBER AND/OR COMPLETE SOCIAL SECURITY NUMBER FOR PROPER IDENTIFICATION.