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Adding Benefit Coverage
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  • Adding Benefit Coverage

Adding Benefit Coverage

 

MESSA Enrollment Forms

MESSA requires the following three (3) forms to be completed:

     MESSA Beneficiary Designation Form  
     Member Application for MESSA Benefits Form   
     MESSA Beneficiary Address Form

MESSA ABC Enrollment Forms

MESSA ABC requires the following three (3) forms to be completed:

 Application for MESSA ABC Benefits
MESSA ABC Beneficiary Designation Form
MESSA ABC Beneficiary Address Form

 

Life Insurance Enrollment Form
This form is used to enroll you for life insurance.

Vision Subscriber Application
This form is used to enroll you for eye care.

Dental Enrollment Form
This form is used to enroll in dental insurance.

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Notice of Nondiscrimination

Chippewa Valley Schools 19120 Cass Avenue Clinton Township, MI 48038 (586) 723-2000
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