Rates & Info

Now, enrolling in the Benefit Alliance Benefit Plans is easier than ever! Use our downloadable Adobe Acrobat (PDF) forms and get the forms you need quickly and easily. You will need the free Adobe Acrobat Reader to open the Benefit Plan forms. Click here to get Acrobat Reader.

Begin the download process by selecting the state in which you live. Be sure that you have selected the correct state, as the Benefit Plan forms vary from state to state.

Alabama Kentucky North Dakota
Alaska Louisiana Ohio
Arkansas Maine Oklahoma
Arizona Maryland Oregon
California Massachusetts Pennsylvania
Colorado Michigan Rhode Island
Connecticut Minnesota South Carolina
Delaware Mississippi South Dakota
District of Columbia Missouri Tennessee
Florida Montana Texas
Georgia Nebraska Utah
Hawaii Nevada Vermont
Idaho New Hampshire Virginia
Illinois New Jersey Washington
Indiana New Mexico West Virginia
Iowa New York Wisconsin
Kansas North Carolina Wyoming

Get Acrobat Reader


Copyright ©2003-2007 Leslie & Associates, Inc. All rights reserved.
site index
Medical Plans
Group Limited Benefit PlansMid Med PlansShort Term Major MedicalIndividual Major Medical
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item
nav item