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TABLE OF CONTENTS Global Medical Insurance® Patriot Travel Medical Insurance® GEOSM Group Other Enrollment Forms Claim Forms

GLOBAL MEDICAL INSURANCE (Contents)
Global Medical Insurance Application (77kb)
Diabetes Questionnaire(24kb)
Global Medical Insurance Affidavit of Eligibility(11kb)
Spanish GMI Application(232Kb)
Brochures
GMI Brochure (669kb)
GMI Spanish Brochure (390kb)
Claims Forms
Global Medical Insurance Claim Form(21kb)

PATRIOT TRAVEL MEDICAL INSURANCE^® (Contents)
Patriot Travel Medical Brochure(121kb)
Spanish Patriot Travel Medical Brochure (220kb)
Patriot Executive^® Travel Brochure (266kb)
Patriot Travel Group Brochure (256kb)

GEO^SM Group (group coverage) (Contents)
GEO Group Brochure
GEO Group Frequently Asked Questions
GEO Group Request For Proposal

CLAIM FORMS (Contents)
IMG Claim Form(20kb)
IMG Interactive Claim Form (123 kb) must have MS Word to use
IMG Dental Claim Form (25kb)
Assignment of Benefit Form (50kb)
Privacy & Confidentiality Release (4kb)
General Accident Questionnaire (6kb)