Annual Eligibility Review Form
You will receive this form in the mail from the Managed Risk Medical Insurance Board (MRMIB) once a year. It is usually mailed 2 months before your termination date (renewal). The form will ask about family income to decide if your children are eligible to enroll again, and if your monthly premium and co-pays will change.
For questions about your eligibility review, call MRMIB at 1-800-880-5305