Forms Library

IMG'S FORM'S & APPLICATION LIBRARY

The Forms & Applications Listed below are available for you to download. To do so, click on the file you desire. These Files are in Adobe Acrobat (PDF) format. If you don't already have Acrobat Reader on your computer you may download it for free by following the link below.

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Download times will vary depending on the speed of your modem. If you have any difficulty retrieving these files or if you have any questions E-Mail IMG.

INDY+PLUS INTERNATIONALsm (group)

INDY+PLUS Request for Proposal Form(31kb)

INDY+PLUS Census Form(49kb)

INDY+PLUS Enrollment Form(19kb)

INDY+PLUS Term Life Beneficiary Declaration Form(18kb)

IMG Claim Form(20kb)

Overseas Benefit Request Form(23kb)

GLOBAL MEDICAL INSURANCEsm
1998 Global Medical InsurancesmApplication(58kb)
1999 Global Medical Insurance Schedule of Benefits (10kb)
Global Medical Insurancesm Affadavit of Eligibility(3kb)
Global Medical Insurancesm Overseas Benefit Request Form(23kb)
Diabetes Questionaire(16kb)

PATRIOT TRAVEL MEDICAL INSURANCEsm

Patriot Travel Medical Brochure(81kb)
Patriot Executive Travel Brochure (395kb)
Patriot Executive Travel Application (55kb)

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