Markel Insurance Company - Forms

Plans, Rates and Benefits

Claim Procedures

Premium Administration

ID Cards & Certificates

Common Mistakes

Forms

Please review some common mistakes that are made on forms.

Enrollment

Employee Enrollment Form

Enrollment Form for Prescription Card

Enrollment Form for Value Plan with a PPO

Enrollment Form for Value Plan without a PPO

Enrollment Form for Enhanced Plan with a PPO

Enrollment Form for Enhanced Plan without a PPO

MBH Health Benefits Claim Form

Termination

Termination Form

Send completed forms to:

Co-ordinated Benefit Plans

PO Box 21282

Tampa, FL 33632-1282

Phone: 877-794-6917