Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
8 am - 12:30 pm
2-50 Small Group Quoting Census
            2-50 Small Group Quoting Census  (26 kb)
2-50 Enrollment Census
            2-50 Enrollment Census  (18 kb)
Level funded census
      This census is used for an initial quote.
            Level funded census  (20 kb)
2-50 Employer Application
            2-50 Employer Application  (1224 kb)
2-50 Product Portfolio
            2-50 Product Portfolio  (64 kb)
2-50 Rate Guide
      Make sure you click on correct tab at bottom of attachment for correct plan.
            2-50 Rate Guide  (108 kb)
51+ Product Portfolio
      This is the product portfolio for 51+ groups. Also they are able to customize benefits for any group to suit their needs.
            51+ Product Portfolio  (37 kb)
Large Group Master Application
      This app must be submitted with any group 51+ to start the quoting process. Must be dated within 90 days of effective date.
            Large Group Master Application  (330 kb)
Census Template
      This is the census for a quote request for 51+ groups.
            Census Template  (29 kb)
Large Group (51+) Quoting Requirements
            Large Group (51+) Quoting Requirements  (2106 kb)
2021 Formulary Drug List
            2021 Formulary Drug List  (2225 kb)
2021 Preventive Drug List
            2021 Preventive Drug List  (618 kb)
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