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

• 2019 VMTA Plan Menu
• Quote Checklist
• Quote Census Template
• New Business Checklist
• Contact List
• Group Master Application
• Employee Application
• New Group Census Enrollment Spreadsheet
• BCBSAZ Member Enrollment Guide
• VMTA SPD

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