In order to establish participation in the MPI Active Health Plan for yourself, your spouse or your dependents, you will need to have completed and returned certain necessary forms. Please select what you want to do from the drop-down table below and find the MPI forms and requirements for each action.

Return your completed forms and materials to MPI by mail:

MPI Eligibility Department
P.O. Box 1999
Studio City, CA 91614-0999

Please note that once enrolled as an Active Health Plan Participant, you must pay premiums for continuing coverage of your dependent(s) and/or yourself, no matter which health plan you choose.

COBRA Rates - 2015

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