Clients

Mid-America Associates, Inc. is pleased to have you as a Client. On this page you will find various commonly used documents and forms.

Simply click on the document name below to view each file.

Forms & Downloads
Designated Representative Form
Authorization To Release Confidential Medical Information MAA
Ohio Employee Application
Caremark Mail Order Form
Caremark Reimbursement Form
Change of Address Form
Disabled Dependent APS Form
Group Change Form
Eligibility Questionnaire
Women’s Cancer Annual Notice
MAA Self Funded Authorization To Release PHI Form