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Management Benefits Fund Form Reset Superimposed Major Medical Plan (SMMP) Claim Form A. Print MEMBER INFORMATION SOCIAL SECURITY NUMBER - DATE OF BIRTH - DISABLED DATE (IF APPLICABLE) / / ? ACTIVE.

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Combines basic coverage and major medical coverage into one comprehensive policy that provides benefits for most medical expenses.

About The Management Benefits Fund (MBF) The Management Benefits Fund was established on July 1, 1967, to provide supplemental benefits to the non-unionized personnel of the City of New York, which includes all managerial, confidential, and original jurisdiction employees and retirees.

Superimposed Major Medical Plan After an individual calendar year deductible is satisfied, the plan reimburses 90%* of non-reimbursed covered medical expenses at Reasonable and Customary (R&C) allowances until out-of-pocket expenses reach $2,500.

The SMMP is a last-payer type plan intended to supplement your basic City health insurance coverage by providing you additional coverage when you incur substantial out-of-pocket medical expenses.

If you are looking for health insurance, you must make sure your insurance provides comprehensive coverage. This includes preventive care, emergency room visits, urgent care visits, surgical procedures, and inpatient hospital stays. Fortunately, that is precisely what major medical insurance delivers.

Superimposed Major Medical Plan After an individual calendar year deductible is satisfied, the plan reimburses 90%* of non-reimbursed covered medical expenses at Reasonable and Customary (R&C) allowances until out-of-pocket expenses reach $2,500.

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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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