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American Alternative Insurance Corp.
Forms

Allied™ Cost Saver

Allied™ Cost Saver PLUS Major Medical Wellness Horizons® Major Medical Plans
Group Health Plans Brochure (for all plans)
Cost Saver and Cost Saver PLUS Brochure  
Plan Disclosure (for all plans)
Agent Guide (for all plans)
Employer Application (for all plans)

CS Employee Application

Major Medical Employee Application
Employee/Dependent Waiver (for all plans)

PPO Network Availability

Employee Limited Benefits Acknowledgment

Health History Questionnaires
(major med)

Employer Limited Benefits Acknowledgement

 

Allied HSA TurnKey Solution forms

 Cost Saver California
Rate Chart

Cost Saver PLUS Major Medical California Rate Chart

 

Integrated Rx
Benefit Flyer



 

State Specific Group Health Forms
American Alternative Insurance Corporation

California Employee Health Application
Iowa Uniform Group Health Application *

*Allied accepts the Iowa Uniform Group Health Application, use is not required.

 



State Availability
CA, CO, GA, IA, IL, IN, KS, MO, NE, NV, OH, OK, PA, TN, and TX.  Please note:  In CA, only Cost Saver and Cost Saver PLUS are available.  In CO, only Cost Saver is available.

 

Guarantee Trust Life
Forms

Listed below are enrollment forms that should only be used for additions to existing GTL groups.

> Employee Medical Application
> Employee Medical Application (Texas Only)

> Allied Cost Saver Employee Enrollment Form
> Employee/Dependent Waiver

 

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