Marsh Affinity Group Services
California Medical Association
Interest Form
Quote Request Form
This page is currently not returning data properly. Please print and fax this page to 213-346-5946 or e-mail CMACounty.Insurance@marsh.com with your inquiry. We apologize for the inconvenience.
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
Practice Name
Address
Suite/Apt
City
State
Zip Code
Phone Number
Fax Number
E-mail Address
Contact Name
Medical Programs
Individual Small Group – 1 to 50 employees
PPO HMO High Deductible Health Plans
Dental Program
Underwritten by: The Guardian
Long Term Disability Program
Underwritten by: Hartford Life Insurance Company
Workers' Compensation Program
Underwritten by: Fireman's Fund Insurance Company
Employment Practices Liability Insurance
Business Overhead Expense Program
Underwritten by: Hartford Life Insurance Company
Term Life Program
Underwritten by: Hartford Life Insurance Company
Group Universal Life Program
Underwritten by: Metropolitan Life Insurance Company
Business Owners Package
Underwritten by: Fireman's Fund Insurance Company
Accidental Death & Dismemberment Program
Underwritten by: Unum Life Insurance Company
Long Term Care Program
Underwritten by: Metropolitan Life Insurance Company
and John Hancock Life Insurance Company
Hospital Income Plan
Underwritten by: Unum Life Insurance Company of America
Catastrophe Major Medical Program
Underwritten by: The United States Life Insurance Company
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Page Last Updated: 7/30/2007

© 2007 Seabury & Smith Insurance Program Management
CA License #0633005