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		List Bill Policyholder Agreement
MMO-OFB Benefit Summaries		List Bill Guidelines
OFB-MMO Exclusions		Employer List Bill Agreement
1200/2400 Wellness HSA Plan 7/10/09		National City HSA
1750 Wellness HSA Plan 7/10/09		MMO Rate Compiler 11/5/09
2000/4000 High Deductible Std Plan 7/10/09		First Horizon HSA
2500/5000 Wellness HSA Plan 7/10/09		Medco Form
Std 80% Plans 7/10/09		OFB-MMO Application 3/1/10
Std 90% Plans 7/10/09		OFB Quote Request
Value Plans
OFB EyeMed Access Benefit
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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