Excess Major Medical (EMM)

Vision Claim Form

In-Hospital Claim Form

Excess Major Medical (EMM) Claim Form

Excess Major Medical (EMM) Plan Descriptions:

Please contact J. J. Stanis or your district for verification of your EMM Plan

Description Plan 1

Description Plan A

Description Plan 2

Description Plan B

Description Plan D

Description Plan E

Rider A

Rider B

Rider C

Rider D