Forms and Plan Documents

Welcome to the online library of forms and resources. Here, you’ll find access to a variety of viewable and/or downloadable online forms, links and PDF documents commonly used by employers.

Forms

• Member Enrollment Form 
• Member Change Form 
• Loss of Health Coverage
• Coordination of Benefits Form 

Plan Documents

The following important documents for your group, along with many others, are easily accessible through your
Employer Maddy Portal account:

• Certificate of Coverage. The Certificate of Coverage is your group’s official policy. It outlines benefits, term definitions, complaints/appeals procedures and much more.
• Summary of Benefits and Coverage (SBC). This summary provides a quick reference for many benefit questions but does not include everything. It does not replace your Certificate of Coverage.