Marsh Affinity Group Services
The Association of the Bar of City of New York
Interest Form
Interested in learning more about The Association sponsored insurance programs? Complete and send this interest form, and more information will be mailed to you right away!
Name
Firm Name
Address
Suite/Apt
City
State
Zip Code
Phone Number
Fax Number
E-mail Address
Contact Name
Medical Programs
Point-of-Service Freedom Plan MetroSM
High Deductible Health Plan
Underwritten by Oxford
Term Life Program
Underwritten by First Unum Life Insurance Company
Catastrophe Major Medical Program
Underwritten by The United States Life Insurance Company
Long Term Care Program
Underwritten by Metropolitan Life Insurance Company and
John Hancock Life Insurance Company
Business Overhead Expense Program
Underwritten by First Unum Life Insurance Company
Accidental Death & Dismemberment Program
Underwritten by First Unum Life Insurance Company
Auto & Homeowners Plan
Underwritten by Liberty Mutual
Business Owners Package
Underwritten by The Hartford
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Page Last Updated: 7/12/05

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