Marsh Affinity Group Services
Los Angeles County Medical Association
Interest Form
Quote Request 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
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 POS HMO MSA
Dental Program
Underwritten by: The Guardian
Long Term Disability Program
Workers' Compensation Program
Business Overhead Expense Program
Term Life Program
Group Universal Life Program
Underwritten by: Metropolitan Life Insurance Company
Business Owners Package
Underwritten by: The Hartford
Accidental Death & Dismemberment Program
Underwritten by: Unum Life Insurance Company
Equipment Protection Program
Underwritten by: Fireman's Fund McGee
Long Term Care Program
Underwritten by: Unum Life Insurance Company of America
Member Assistance Program
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: 3/23/2004

© 2004 Marsh Affinity Group Services
a service of Seabury & Smith, Inc.
Insurance Program Management
CA License #0633005