Please complete the following easy steps to enroll in this great new benefit:
Complete, Sign and Date Enrollment Form. Be sure to include information on all individuals to be covered.
Complete, Sign and Date the Payment Options Form (included with the Enrollment Form).
Write a Check made payable to Greater Insurance Service for the first month’s premium.
Return the above items to:
NRLCA Benefit Center
PO Box 8633
Madison, WI 53708-8633
Need help? Please call (877) 817-4801!