Employee Benefit Plans

Vigilant Manufacturers’ Trust Arizona (VMTA) provides high quality, affordable employee benefits programs to employers in the manufacturing industry, headquartered in Arizona.

As an associate member of Vigilant, groups may choose from several medical plan options underwritten by BlueCross BlueShield of Arizona. Optional ancillary benefits include dental coverage through BlueCross BlueShield of Arizona and vision through VSP. Participating groups must have a minimum of 10 employees enrolled in the plan.

Benefit Plan Documents & Forms

General Information

• 2024 VMTA Plan Menu
• 2023 VMTA Plan Menu
• Quote Checklist
• Quote Census Template
• New Business Checklist
• Renewal Checklist
• Payment Reminder
• Contact List
• Medicare Part D 2023 Cover Letter
• Medicare Part D – 2023 Creditable Coverage Status Letter
• New Group Census Enrollment Spreadsheet
• BCBSAZ Member Enrollment Guide
• VMTA SPD

Enrollment Forms

• 2024 Group Master Application
• 2023 Group Master Application
• 2024 Employee Application
• 2023 Employee Application

Medical Plan Summaries

Effective January 1, 2024 – December 31, 2024

BlueCross BlueShield of Arizona
80 Series, 70 Series, HSA Series

80 Series

• PPO 500
• PPO 750
• PPO 1000
• PPO 1500
• PPO 2000
• PPO 2500
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

70 Series

• PPO 1000
• PPO 2000
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

HSA Series

• HSA 1600
• HSA 3200
• HSA 3500
• HSA 4000
• HSA 4500
• HSA 6900

Medical Plan Summaries

Effective January 1, 2023 – December 31, 2023

BlueCross BlueShield of Arizona
80 Series, 70 Series, HSA Series

80 Series

• PPO 500
• PPO 750
• PPO 1000
• PPO 1500
• PPO 2000
• PPO 2500
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

70 Series

• PPO 1000
• PPO 2000
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

HSA Series

• HSA 1500
• HSA 3000
• HSA 3500
• HSA 4000
• HSA 4500
• HSA 6900

Medical Plan Booklet and Plan Specific Attachments

Effective January 1, 2024 – December 31, 2024

BlueCross BlueShield of Arizona
80 Series, 70 Series, HSA Series

Base Booklet 2024 – All Networks – All Plans

Note: The complete Benefit Booklet is comprised of both the above Base Booklet (which applies to all plans and all networks) and the applicable plan attachment listed below.

80 Series

• PPO 500
• PPO 750
• PPO 1000
• PPO 1500
• PPO 2000
• PPO 2500
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

70 Series

• PPO 1000
• PPO 2000
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

HSA Series

• HSA 1600
• HSA 3200
• HSA 3500
• HSA 4500
• HSA 4000
• HSA 6900

Medical Plan Booklet and Plan Specific Attachments

Effective January 1, 2023 – December 31, 2023

BlueCross BlueShield of Arizona
80 Series, 70 Series, HSA Series

Base Booklet 2023 – All Networks – All Plans

Note: The complete Benefit Booklet is comprised of both the above Base Booklet (which applies to all plans and all networks) and the applicable plan attachment listed below.

80 Series

• PPO 500
• PPO 750
• PPO 1000
• PPO 1500
• PPO 2000
• PPO 2500
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

70 Series

• PPO 1000
• PPO 2000
• PPO 3000
• PPO 4000
• PPO 5000
• PPO 6000

HSA Series

• HSA 1500
• HSA 3000
• HSA 3500
• HSA 4000
• HSA 4500
• HSA 6900

Dental Plans – Summaries and Booklets

BlueCross BlueShield Arizona

Dental Summary Overview

Booklets

• DHMO High Booklet
• PPO 50|1000 Booklet
• PPO 50|1500 Booklet
• PPO 50|1500 with Adult & Child Ortho Booklet
• PPO 50|1500 P290 Optimum Booklet
• PPO 50|1000 A90 Value Booklet

Summaries

• DHMO High Summary
• PPO 50|1000 Summary
• PPO 50|1500 Summary
• PPO 50|1500 with Adult & Child Ortho Booklet
• PPO 50|1500 P290 Optimum Summary
• PPO 50|1000 A90 Value Booklet
• Orthodontia Rider

Vision Plan Summaries

VSP

• Basic
• Basic Spanish
• Enhanced
• Enhanced Spanish
• Exam Plus
• Exam Plus Spanish
• Preferred Plus
• Preferred Plus Spanish

Life / AD&D Plan Summaries

Equitable

• $15K no dep Life/AD&D
• $15k + dep Life/AD&D
• $25K no dep Life/AD&D
• $25k + dep Life/AD&D
• $50K no dep Life/AD&D
• $50k + dep Life/AD&D
• $75K no dep Life/AD&D
• $75k + dep Life/AD&D
• Life/AD&D claim form

To Request a quote or for more information

Please contact the association team at DiMartino Associates:

DiMartino Associates
Phone: 206-623-2430
VMTA Quotes: vmtaquotes@dimarinc.com
General Information: vmta@dimarinc.com

All Employee Benefit plan participants must be dues-paying members of the Vigilant association. Please view the agreement and membership brochure.