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Benefit Sheets and Brochures
(requires Adobe Acrobat Reader)
Medalist Brochure - Full color brochure - American Community Mutual's
Medalist Health Care Plan for individuals and families
Indiana Health Benefits - A brief description of the benefits of the
Medalist Health plan for Indiana Residents
Indiana Rate Sheets - Medalist monthly and EFT base rates
Indiana Short-Term - An interim
health insurance plan for individuals who are between jobs, temporarily
laid off, waiting for group coverage. or seasonally employed |
Applicatons
(requires Adobe Acrobat Reader)
Fax all applications to Borshoff.com (317) 846-0983.
A fax cover sheet is provided for your convenience.
Fax Cover Sheet
Medalist Application - Indiana health insurance
application through American Community Mutual Insurance.
Indiana Short-Term Application- short-term health coverage |
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