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Medical Mutual of Ohio Employee Application/Change Form For Individuals in Groups with 1-19 Eligible Employees INSURANCE WAIVER COMPLETE THE WAIVER SECTION BELOW ONLY if you do not want any coverage.

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For questions about plans or benefits, please contact a Medical Mutual representative at (800) 382-5729 (TTY/TDD 711 for hearing impaired): Monday - Thursday, 7:30 a.m. - 7:30 p.m. (EST)

Plan and Network Overview Medical Mutual Individual and Family Plans utilizes four Health Maintenance Organizations (HMO) networks throughout Ohio that provide access to doctors and hospitals at a lower rate.

For questions about plans or benefits, please contact a Medical Mutual representative at (800) 382-5729 (TTY/TDD 711 for hearing impaired): Monday - Thursday, 7:30 a.m. - 7:30 p.m. (EST)

In 1997, the company left the Blue Cross/Blue Shield Association and re-claimed the name of one of its predecessors, becoming the present day Medical Mutual of Ohio.

This Medical Mutual of Ohio and its Family of Companies (collectively, “Medical Mutual”) website may contain links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual. These links are provided solely for your convenience, and you access them at your own risk.

Your Medical Mutual coverage includes access to the Aetna® Open Choice® PPO network if you live outside of the Medical Mutual SuperMed® PPO service area. The SuperMed PPO service area includes the state of Ohio, as well as Boone, Campbell and Kenton counties in Kentucky.

Call us at 800-492-0193 and inform the operator that you are an Insured reporting a new claim.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232