If you are a sponsor of the MDA Health Plan and missed the early August deadline to return your practice’s eligibility verification materials to MDA Insurance, please complete and submit the information immediately. If you need help, please contact MDA Insurance at 877-906-9924 for assistance.
Eligibility verification information provides a snapshot of your group at the point in time when the verification is submitted. MDA Insurance uses this information to prepare each group’s renewal documents for 2026. Obtaining eligibility verification documentation is required, and auditors from the state Department of Insurance and Financial Services spot-check for this documentation when the health plan is audited.
Eligibility verification is a four-step process. First, obtain a Quarterly Wage Detail Report ending June 30, 2025, known as form UIA 1028, and complete it as directed in the verification packet. Next, complete the highlighted areas of the personalized Participation & Business Rules Worksheet that was included in your packet. Third, obtain a waiver of insurance from every employee indicated on the Quarterly Wage Detail Report with a W, which indicates they are waiving coverage. New waivers must be obtained annually from anyone eligible for the MDA Health Plan, but not enrolling in it. Finally, return all the information requested in the postage-paid envelope, or fax it to 517-484-5460.