Deep Sea
Great Lakes
Inland Waters
Medical Claim Submission Instructions
Pre-Certification & Case/Utilization Management
Understanding the Explanation of Benefits Form
Eligibility Requirements
Important Information Regarding COBRA
Newborns’ & Mothers’ Health Protection Act
Women’s Health & Cancer Rights Act
Cancellation of Authorization to Use or Disclose (PHI)
Authorization (For Use or Disclosure of PHI)
Notice of Privacy Practices
Authorization Form for Use and Disclosure of PHI (Pre-Employment)
Medical Center Authorization (For Use or Disclosure of PHI)
Medical Plan Forms
CIGNA Forms
Applying for Pension Benefits
Pension Plan Forms
Instructions for Filing Vacation Claims
Vacation Plan Forms
AMO 401(K) Plan Distribution and Withdrawals
Great Lakes Employer Matching Contributions
401(k) Plan Forms
Monitor 401(k) Account Online
MPB Plan Forms
Monitor MPB Account Online
RTM STAR Center Web Site
Transportation Reimbursement Application
Course Application for RTM STAR Center
Course Schedule: Dania Beach, Florida
Course Schedule: Toledo, Ohio
Hurricane Updates
Reports on Course Scheduling in the Event of a Hurricane Warning
AMO Plans Bulletins
6/08: American Maritime Officers Medical Plan bulletin: important information when acquiring prescription medication
5/08: American Maritime Officers Pension Plan general information regarding distributions, payments and medical benefits
4/08: New Medical Plan Benefit Coverage for Lasik Vision Correction
4/08: Employment Recognized under the Seafarers Pension Plan Reciprocal Agreement May Now be Used to Meet Certain Requirements for Attaining Alternate Normal Retirement Age Under the AMO Pension Plan for Lump Sum Eligibility
Previous Bulletins
Summary Annual Reports
401(k) Plan: CY 2006
Pension Plan: FY 2006
Medical Plan: FY 2006
Vacation Plan: FY 2006
AMO Medical Plan Forms:
Scholarship Application
Maritime Academy Scholarship
Medical Plan Beneficiary Designation
2008 AMO Medical Plan Permanent Data & Pensioner's Earnings Limitation & COB.pdf
AMO Medical Plan Pre-Certification Form/Radiology High-Tech Procedures
Affidavit of Step-Child or Child Under Legal Guardianship/Custody
Pre-certification/Case Management Intake Form
Application For Benefits (Standard PDF - 385 KB)
Application For Benefits (Fill Out Online - 1 MB)
2008 AMO Medical Plan Permanent Data & COB-Dependent Spouse & Dependent Children.pdf
2008 AMO Medical Plan COB & Affidavit of Support for Dependent Student
2008 AMO Medical Plan COB & Affidavit of Support for Dependent Parent
Medical Disability Application
Cancellation of Authorization to Use or Disclose Protected Health Information (PHI)
Authorization (For Use or Disclosure of Protected Health Information)
Notice of Privacy Practices
Authorization Form for the Use and Disclosure of Protected Health Information for Pre-Employment Purposes
Medical Center Authorization (For Use or Disclosure of Protected Health Information)
Plans Forms Online
Medical Plan Forms
Vacation Plan Forms
Pension Plan Forms
401(k) Plan Forms
MPB Forms
CIGNA Forms
Contact Our Smith Barney Financial Advisors
On The Web
By E-mail
Phone: 800-975-7061
CIGNA PPO Network
CIGNA PPO Provider Directory
PPOM (Cofinity) PPO Provider Directory
Union & Plans Sites
American Maritime Officers
AMO Dispatching
AMO Currents
RTM STAR Center
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