Carolyn Zimmer, Office Manager
bkkpr@mtada.com      (406) 442-1233

Health insurance is a very important part of any benefit package but with increasing costs employers are struggling to provide quality programs.

The MADA Insurance Trust is pleased to offer its members a variety of competitively priced plans that are designed to provide quality care for employees and their dependents.

If you are NOT currently a member of the Trust and would like to receive a quote please call Carolyn at (406) 442-1233.

If you are already a member and would like additional benefits please call Carolyn at (406) 442-1233.

Blue Cross Blue Shield of Montana

Mail Order Pharmacy

FORMS

(please print, complete and send all insurance correspondence to the MTADA office)

INSURANCE

1. Authorization For Release Of Creditable Coverage
2. Ft Dearborn Life
3. Notice Of Pre existing Conditions

Change of Status Form

Mail Order Pharmacy Form

Prescription Drug Claim Form

COBRA

COBRA Qualifying Event Form

1. Which Events Trigger COBRA
2. Your COBRA Communication Duties