Instructions for Individual Coverage

1.  Print out all the necessary forms.

    A.  AMA-NACD Association Application

    B. AMA-NACD Payment Authorization form

    C.  AMA-NACD Application American Medical Access

(Failure to completely and correctly fill out forms may result in delay of requested coverage effective date)

2.      Mail all completed forms with check or Money order made payable to:                   

            MagnaBenefits Solutions, Inc.

            Attn:  Tonya Choryan

            6140 28th St. SE

            Suite 200

            Grand Rapids, MI   49546

 

*  If you have any questions or need help filling out the forms please call MagnaCare at 1-800-278-2323.  Thank you