Pension & IAP
Health Plan Enrollment
Board of Directors
Notice of Non Discrimination
If you are an MPI Health Plan PPO Participant (Anthem Blue Cross) wondering whether a medical service
or procedure is a covered benefit under the Plan, please see the
Active and Retiree
Health Plan Summary Plan Descriptions (SPDs) for a list of covered services and non-covered services.
Also, please keep in mind that the procedure or service must be deemed “medically necessary” to be
covered by the Health Plan. (See 2013
Active Health Plan SPD, p. 42 for more detail.)
MPI does not require preauthorizations for the payment of procedures or services. (See Active and Retiree Health Plan SPDs.)
Nevertheless, if you or your physician seeks pre-authorization for a procedure or service,
click on the appropriate form below, then complete and return it to MPI’s Medical Review Department.
You should receive an official response by mail within fourteen days.
Medical Review Department--Confidential
MPI Health Plan
Studio City, CA 91614-0999