EASC/Dodd Brokerage

1181 Noe Bixby Rd
Columbus, OH 43213
614-863-3633    800-862-0085     Fax 614-863-0205

Ancilliary Insurance Products

Long Term Care Products

Legal

Health Insurance Products
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Medical Mutual - Farm Bureau Plan

Medical Mutual and the Farm Bureau will be announcing new plans for effective dates to begin in January 2008.

MMO-OFB Contracting (Please download and complete all 3 forms)

MMO Appointment How To

MMO Ohio Insurance Producer Agreement

MMO Writing Producer Agreement

W-9

Benefit Plan Descriptions		Applications & Forms
Farm Bureau Membership Benefits		OFB-MMO Application 4/21/10
		MMO Rate Compiler 4/21/10 Rates effective from 5/1/10 thru 9/30/10
OFB-MMO Exclusions		List Bill Policyholder Agreement
OFB HD Plans 3/11/10		List Bill Guidelines
OFB HSA Plans 3/11/10		Employer List Bill Agreement
OFB 80% Plans 3/11/10		First Horizon HSA
OFB 90% Plans 3/11/10		Medco Formulary list
OFB Value Plans 3/11/10		OFB Quote Request
OFB EyeMed Access Benefit		PNC HSA Account Application 4/26/10
EyeMed Discount Plan 3/14/09
OFB Dental Plan
OFB-MMO Brochure 12/5/09 "Benefit Plan Description Sheets" should be sent with brochure

Provider Networks

EyeMed Network

Super Med Plus PPO

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