Travel Card

Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121

Group Marketing Services Group insurance that benefits small business

Travel Network Card Request
Please request a travel card if you plan to travel outside of your state of residence. As an active member, this card will allow you access to a national network of providers for out of state emergency care treatment.

Member Name*

Member E-mail*

Member Phone Number

Member ID Number*

State of Residence*

Depart Date*

Return Date*

Destination State*

Kalamazoo Address

PO Box 19040

Kalamazoo, MI 49019

Phone: (269) 343-2611

Fax: (269) 349-3275

Grand Rapids Address

Grand Rapids, MI 49512

Phone: (616) 940-2099

Fax: (269) 381-5028

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