Employee Benefit Plans

Vigilant Manufacturers’ Trust Arizona (VMTA)

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

Medical Plan Booklets

Effective January 1, 2019 – December 31, 2019

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

Base Booklet 2019 – Statewide Network – All Plans

Base Booklet 2019 – Alliance Network – All Plans

Domestic Partner Rider Insert (applicable only if elected at group level)

Note: The complete Benefit Booklet is comprised of both the above Base Booklet for your plan’s network (Statewide or Alliance) and the applicable plan attachment listed below.

80 Series
Alliance

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Statewide

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
70 Series
Alliance

PPO 1000

PPO 2000

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Statewide

PPO 1000

PPO 2000

PPO 3000

PPO 4000

PPO 5000

PPO 6000
HSA Series
Alliance

HSA 1500

HSA 2700

HSA 3500

HSA 4500

HSA 6750
Statewide

HSA 1500

HSA 2700

HSA 3500

HSA 4500

HSA 6750

Medical Plan Summaries

Effective January 1, 2019 – December 31, 2019

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

80 Series
Alliance

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Statewide

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
70 Series
Alliance

PPO 1000

PPO 2000

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Statewide

PPO 1000

PPO 2000

PPO 3000

PPO 4000

PPO 5000

PPO 6000
HSA Series
Alliance

HSA 1500

HSA 2700

HSA 3500

HSA 4500

HSA 6750
Statewide

HSA 1500

HSA 2700

HSA 3500

HSA 4500

HSA 6750

Dental Plans - Summary and Booklets

BlueCross BlueShield Arizona

Effective January 1, 2019 – December 31, 2019

Effective January 1, 2020 – December 31, 2020

Dental Summary Overview
DHMO High Booklet
PPO 50|1000 Booklet
PPO 150|1500 Booklet
PPO 25|2000 Booklet

Vision Plan Summaries

VSP

Life / AD&D Plan Summaries

The Standard Insurance Company

$15K Life/AD&D
$25K Life/AD&D
$50K Life/AD&D
$75K Life/AD&D