Once the deductible is satisfied, this plan provides benefits for eligible expenses that your basic plan may not fully cover. Coverage includes but is not limited to:
Please note: This coverage is not long-term care or nursing home insurance.
HOW CAN I ENROLL IN THE CMM PLAN?
You may select from the following convenient payment options:
If your benefit period effective date is December 31, 2017, or before, please contact Mercer Consumer regarding claims processing. This applies to individuals who are submitting claims under the $15,000 or $25,000 deductible CMM plans. Please refer to the following details for claims under this plan:
These form(s) and documents are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.
|CMM Plan Document - Voluntary Plan|
|CMM Plan Highlights - Voluntary Plan|
|Catastrophe Major Medical Plan – Certificate $15,000|
|Catastrophe Major Medical Plan – Certificate $25,000|
|Catastrophe Major Medical Plan – Plan Document $15,000|
|Catastrophe Major Medical Plan – Plan Document $25,000|
|Catastrophe Major Medical Plan – Change Form|
|Catastrophe Major Medical Plan – Notice of Privacy Practices|
|Catastrophe Major Medical Plan - Domestic Partner Affidavit|
|Summary of Benefits and Coverage (SBC) - 2020|
|Summary of Benefits and Coverage (SBC) – 2021|
|Glossary of Health Coverage and Medical Terms|
|Payroll Deduction Card|
|Pension Deduction Card|
The Claim Administrator for benefit periods prior to 1/1/18:
M-F 9a-9p ET
For claims filed with a benefit period effective date of January 1, 2018, or beyond: