MBA Resources
MBA Resources & Forms

Contact MBA
Toll Free: 1-800-877-3727
Fax: 1-801-747-5205
Email: claims@mbaadministrators.com
- Prescription Drugs, Magellan Rx, Pharmacy Help Desk: 800-424-0472
- Employee Assistance Program (EAP), Blomquist Hale Consulting, 1-800-926-9619
- Teladoc: 1-800-Teladoc (835-2362)
- Claims and Eligibility, Login
- Ameritas: 1-888-336-7601
- Download MBA Member App
MBA Forms
- Flexible Spending Election/Change Form Form
- Dependent Care Enrollment Form
- Continual Reimbursement Request Form
- Medical Expense Reimbursement Voucher
- FSA Eligible Expenses
- Change Of Address
- Health Fair Claim Form
- MBA Steps – Walking Log
