Marsh Affinity Group Services
California Medical Association
Interest Form
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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!
Member Name
Pharmacy Name
Address
Suite/Apt
City
State
Zip Code
Phone Number
Fax Number
E-mail Address
Contact Name
Workers' Compensation Program
Underwritten by Fireman's Fund Insurance Company
Business Owners Package
Underwritten by Fireman's Fund Insurance Company
Professional Liability
Underwritten by Chicago Insurance Company
Employment Practices Liability
Long Term Disability Program
Underwritten by The United States Life Insurance Company
Medical Programs
Individual Coverage
Small Group Coverage (2–50 Employees. E-mail a census to CPhA.Insurance@marsh.com )

Term Life Program
Underwritten by Hartford Life and Accident Insurance Company
Group Universal Life
Underwritten by Metropolitan Life Insurance Company
Long Term Care Program
Underwritten by John Hancock Insurance Company of America and MetLife Insurance Company of America
Catastrophe Major Medical Program
Underwritten by The United States Life Insurance Company
Auto & Homeowners Plan
Underwritten by Liberty Mutual
Accidental Death & Dismemberment Program
Underwritten by Unum Life Insurance Company of America
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Page Last Updated: 3/20/2007

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