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Home > Health Plan > Idaho AGC Authorized Brokers

Idaho AGC Authorized Brokers

Quoting:

A group qualifies for the Idaho AGC Health Plan if:

  • 2 or more qualifying employees
  • 75% participation
  • Groups must be commercial construction related or wish to have a larger market share in the commercial construction industry.

Forms

Participation Agreement 2012

Application For Group Coverage 2012

Quoted Group Check List

Sold Group Check List

Census

Employee Waiver

Small Employer Application

Term Form

LOA Form

Metlife Group Application 2012

MetLife Application (Participating in Medical)

Metlife Application (NOT participating in Medical)

Met Life Life Buy-up rate sheet

MetLife Change Form

Short Term Disability Buy-up rate sheet

MetLife Waiver of Benefits

2012 AGC Membership App

2012 Summary of Benefits

750 Deductible PPO_Highlight_Sheet

1000 Deductible PPO_Highlight_Sheet

1500 Deductible PPO_Highlight_Sheet

2500 Deductible PPO_Highlight_Sheet

5000 DeductiblePPO_Highlight_Sheet

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