Michigan Programmers
Insurance Agency
1400 Abbott Road, Suite 440
East Lansing, MI 48823
517-337-2020   1-800-327-1950
COBRA, Medicare Advantage, Blue Cross  Blue Shield, Medicare Advantage, Aetna, Priority Health, PHP, McLaren, Assurant, Employee Benefits, Individual coverage, My
Blue, Low-cost, Affordable, Aetna Advantage, AARP. Michigan, Supplements, BCBSM, Dental, Vision
Serving Michigan Businesses,
Individuals, & Families  
for over 20 years
Forms
Choose your carrier:
PHP
PLEASE CALL
1-800-327-1950
FOR ADDITIONAL
INFORMATION
Please note that all forms
may not be fillable, if the
form cannot be filled in
please print, and fill out  
Forms can be faxed to us at
517-337-7431 or emailed to
paml@miprogrammers.com