Insurance Company Carriers Forms

National Insurance Services of North America, Inc.

Call Us Today!
888-564-7662


Term Life Insurance Quote
Health Insurance Quote
Disability Income
Annuity
Medicare/Long Term Care

Select Your State

Instant Term Life Quote, no medical exam needed

"Select A Term"
Now you can select a term life insurance
policy for a certain
number of years

Accurate Term Life Quotes

Instant Health
Insurance Quotes
Compare hundreds of top rated plans in less than 5 minutes

Instant Health Insurance Quote

HSA, Health Savings Account
Save thousands of dollars each year on your total healthcare expenditures. Compare side by side rates from Americas top rated companies

Instant HSA Quote Health Savings Account

Discount Dental Plans, Starting At 79.95 per year.
More than 20,000 participating Dentists nationwide. To get an additional 3 months free.

Cheap Dental Plans

Insurance Definitions

Term Calculator

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National Insurance Services of North America, Inc. (NisonA)
2120 58th Ave., Suite 305
Vero Beach Fl 32966
Phone: 888-564-7662 Fax: 772-770-0839
Email: info@nisona.com

Please do not hesitate to contact us with any questions you have regarding your insurance.
We can assist you with:

Enrollments Billing Eligibility Benefit Questions	Terminations Claims Changes Renewals
…and much more!

Specific Carrier Information


	United Healthcare Member Services……………………..800-357-0978 www.uhc.com Provider Directory Employee Enrollment Form (PDF) Employee Enrollment Form - Extra Dependants (PDF)

	Humana Member Services…………………….800-558-4444 www.humana.com Provider Directory Dental Directory Employee Enrollment Form (PDF) Dental, Life, and Disability Enrollment Form (PDF) Change Form (PDF)

	Blue Cross Blue Shield Member Services……………………866-946-2583 www.bcbsfl.com Provider Directory Employee Enrollment Form (PDF)English Employee Status Change Form (PDF) Employee Enrollment Form (PDF)Spanish Accident Letter Dependent Eligibility Dental Application Dental Claim Form Life Application Prior Coverage Medical Claim Form RX Claim Form Member Status Change Request Form

	Aetna Member Services……………………800-323-9930 Employee Application (PDF)



	METLIFE Member Services……………………877-229-8094 Eligibility, billing, claims questions.....800-275-4638 Employee Application (PDF)



	American General Life Client Services www.aigebs.com Address: P.O. Box 30066, Tampa Fl 33630-3066 AIG Tampa Solutions Center.................877-672-1648 Fax: 877-672-1650 New Employee Group Term Enrollment Form Evidence of Insurability for late entrant form