Text Size: S M L XL
Agents & Employer Groups

Welcome! This section is for you if you are an Agent or the administrator of a group plan for your employees.

Below you will find downloadable forms and pamphlets that will help you to administer your commercial group plan if you are a current client, or enroll your group to become a commercial client. Please contact our Marketing & Sales Division at (800) 826-2862 if you need assistance.

The forms are viewable using Adobe's free Acrobat Reader.


Downloadable forms/files

 Title
2009 - UOP - PPN New Group Submission Form
2009 POS-Select - New Group Submission Form
2009 HMO - New Group Submission Form
Group Administration Form
Member Enrollment Form
THC Underwriting Guidelines
Total Health Care USA Employee Waiver Form
New Group Exception Letter
New Agent Agreement
Group Administration Guide
Agent Commission Agreement
 Enrollment & Renewal 
 Group Rating & Benefits 

Helpful links...

Download our provider directory
Michigan Office of Financial & Insurance Services (OFIS)
Adobe Acrobat Reader
 
Copyright © 2009 Total Health Care, Inc.