Marsh Affinity Group Services
New York County Medical Society
Interest Form
Interested in learning more about the Society 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
Point-of-Service Freedom Plan MetroSM
Underwritten by Oxford
Term Life Program
Underwritten by The United States Life Insurance Company
Long Term Disability Program
Underwritten by The United States Life Insurance Company
Catastrophe Major Medical Program
Underwritten by The United States Life Insurance Company
Nursing Home and Home Care Insurance
Underwritten by First Unum Life Insurance Company
Business Overhead Expense Program
Underwritten by The United States Life Insurance Company
Accidental Death & Dismemberment Program
Underwritten by First Unum 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