Insurance Information Request

To be contacted by a Licensed Insurance Agent for your insurance needs please complete the information request:

* Required information

First Name

Last Name

Business Name

E-mail Address

Mailing Address

City

State

Zip

Please indicate what products you are interested in:
 Accident Life Heath Dental Critical Illness

Are you a Member of the National Business Association?
 No Yes

NOTE: If you request information about access to insurance, you will be contacted by a Licensed Insurance Agent to discuss your personal needs, and the programs available in your state. Insurance Agents also have a wide array of small business health insurance and financial products available to protect you and your assets, including Life insurance, Dental discounts, Disability Insurance, Annuities and Accident insurance.

Join the National Business Association TODAY!

The National Business Association is committed to the success of the Self-Employed and
Small Business Community – Helping you Build the American Dream!
Let our line-up of products, services, valuable resources and strategic partners work for your s success and assist in achieving your goals and dreams.

Become a Member

Optional Insurance Benefits

The National Business Association offers Members access to Insurance Options.
Through Licensed Insurance Agents with Respected Insurance Companies offer plans which can assist in meeting the needs of the Self-Employed and Small Business Community.

Accident Insurance

As an optional Benefit NBA Members have access to this Group Accident Only Insurance Coverage through Guarantee Trust Life Insurance Company that provides greater peace-of-mind to Members and their Dependents engaged in a wide variety of activities. With a $100 deductible and a payment of up to $5,000 per incident for Accident Medical Expenses along with Short Term Disability, and Accidental Death and Dismemberment, this Benefit gives all eligible persons the security they need and deserve.

What’s covered:

Accident Medical Expense – Plan pays up to $5,000 for Covered Charges incurred by a Covered Person due to Injury caused by an Accident –
With only a $100.00 Deductible per Injury

Disability Income Benefit – Plan pays $100 per Week when disabled due to an Injury. The Disability Income Benefit will start paying after the 14 day Elimination Period, to a maximum of 26 weeks.

A D & D – Accidental Death and Dismemberment, Loss of Sight, Speech, and Hearing Benefit. If within 365 days of an Accident, Injury from the Accident results in a loss covered by this benefit, the Plan will pay as shown on the Schedule of Benefits – Up to $1,000

Accident benefits are underwritten by Guarantee Trust Life Insurance Company, Glenville, IL.
Benefits may vary by State and not available in all states.
For complete details of all provisions, please read your certificate carefully.

Life Insurance Benefit

As an Optional Benefit NBA Members have access to $5,000 of Term Life insurance through Lincoln National Life Insurance Company. Upon death of a covered Primary Member the Beneficiary receives $5,000. Upon the death of the Spouse their Beneficiary receives $2,500. The Policy includes $1,250 for each Child upon their unfortunate death. This means that if you die while you are a member in good standing of the NBA program, your beneficiary(s) will receive $5,000. You are automatically the beneficiary for your Spouse and Child/Children.

Life Insurance is underwritten by Lincoln National Life Insurance Company, Omaha, NE
Benefits may vary by State and not available in all states.
For complete details of all provisions, please read your certificate carefully.