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Group Health Forms

 
             

 

American Alternative Insurance Corp. Forms

* For downloadable Funding Advantage forms, please click here.

Wellness Horizons® Health Plans

Group Health Major Medical Plans Brochure
Cost Saver Brochure

CoreValue Brochure

Plan Disclosure (for all plans)
Agent Guide (for all plans)
Employer Application (for all plans)

CS Employee Application

CoreValue Voluntary Supplement Benefits Enrollment
Major Medical Employee Application
Employee/Dependent Waiver (for all plans)

PPO Network Availability

Health History Questionnaires (major med)

Employee Limited Benefits Acknowledgment

Employer Limited Benefits Acknowledgement

Integrated Rx Benefit Flyer

Provider Freedom Brochure Flyer

To download the Cost Saver Individual Plan sheets, click here.

 

State Specific Group Health Forms
American Alternative Insurance Corporation

California Employee Health Application
Iowa Uniform Group Health Application
Illinois Group Health Application*
Nebraska Uniform Group Health Application *
Texas Optional M&N Employer Application
Indiana Employee Health Application

*Allied accepts this application, use is not required.



State Availability
CA, CO, GA, IA, IL, IN, KS, MO, NE, NV, OH, OK, TN, and TX.
Please note:  In CA, only Cost Saver and CoreValue are 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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> Learn More

Click here to learn more about Allied's group health plans.

> Updated Forms               Click here to download recently updated forms.

 

 
 

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