Group Ancilliaries
Group Ancilliaries | Allied | Tasc Flex | AIG | IAC | Fort Dearborn Life
 


Contact Shea Gamble, Licensing Coordinator (847.605.1200, x 2019), to ensure AIG licensing documentation is complete PRIOR to submission of new business cases.
 
Enrollment Marketing-Group Plans Only
Checklist Dental Employer Paid (5/07)
Master Application (Employer App) Dental Employee Paid (5/07)
Employee Application (Employer Paid) Indemnity Dental Employer Paid (5/07)
Employee Application (Voluntary) Indemnity Dental Employee Paid (5/07)
  Vision (3/06)
  STD (4/07)
  LTD (3/07)