Georgia Insurance Plans - Health, Dental, Life, Supplemental

Tel: Fax: Cell: TF:	478-745-4074 478-743-2608 478-747-2570 800-900-8286

Below is a list of our service offerings, followed by outlines of coverage and printable application forms for our various plans.

Need to know more about COBRA Continuation Health Coverage? This FAQ from the U.S. Dept of Labor addresses many common questions about COBRA.

	Kaiser Plans, Benefits & Rates (PDF) - Use this brochure to compare plans and choose the one that is best for you.
	Kaiser Online Quote: David Giammetta (External Link) - Follow this link to get a quote for a Kaiser Permanente plan using David Giammetta as your agent.
	Kaiser Online Quote: Trent Cobble (External Link) - Follow this link to get a quote for a Kaiser Permanente plan using Trent Cobble as your agent.
	Kaiser Printable Application (PDF) - Use this application form if you wish to apply for a Kaiser Permanente individual health plan, and you prefer to print it out and mail it to us. If you need our Broker IDs to complete a form, please use the following: • For David Giammetta enter Agent # N82. • For Trent Cobble enter Agent # N86.

	BCBS Online Quotes: David Giammetta (External Link) - Follow this link to get a quote for a BCBS plan using David Giammetta as your agent.
	BCBS Online Quotes: Trent Cobble (External Link) - Follow this link to get a quote for a BCBS plan using Trent Cobble as your agent.
	BCBS Printable Application (PDF) - Use this form if you wish to apply for a BCBS individual health plan, and you prefer to print it out and mail it to us.
	BCBS Provider Directory (External Link) - Find an in-network physician in this online directory.

	Humana Online Quotes: David Giammetta (External Link) - Use this form if you wish to get a quote for a Humana health, dental or vision plan using David Giammetta as your agent.
	Humana Online Quotes: Trent Cobble (External Link) - Use this form if you wish to get a quote for a Humana health, dental or vision plan using Trent Cobble as your agent.

	BlueCross BlueShield Dental Brochure (PDF) - Benefits summary for the BCBS individual/family dental plan.
	BlueCross BlueShield Dental Application (PDF) - Use this form to enroll in the BCBS individual/family dental plan.

Humana Individual and Family Dental (External Link) - Enroll online for Humana dental. You can view the various plan options and enroll online.

	Voluntary Short Term Disability Brochure (PDF) - Explains benefits and rates for the Illinois Mutual voluntary short term disability plan.
	Employer Application (PDF) - Employers use this form to apply.
	Employee Enrollment Form (PDF) - Employees use this form to enroll.
	ProtecPay Stuffer (PDF) - Contains information about the Illinois Mutual voluntary income protection plan.

	IMG SelectaPlan(SM) Form: David Giammetta (External Link) - Brochures and online applications for international major medical or travel insurance policies using David Giammetta as your agent.
	IMG SelectaPlan(SM) Form: Trent Cobble (External Link) - Brochures and online applications for international major medical or travel insurance policies using Trent Cobble as your agent.

	Thrivent Brochure (PDF) - Contains information about the Thrivent Medicare supplement plan.
	Thrivent Rate Sheet (PDF) - Contains rates for the Thrivent Medicare supplement plan.