Agents
Mid-America Associates, Inc. is pleased to have you as an Agent. On this page you will find various commonly used documents and forms.
Simply click on the document name below to view each file. ApplicationsClick Here to Enroll On-LineMulti-State Employee ApplicationGeorgia Mid-America Employer Application FormsIllinois Mid-America Employer Application FormsIndiana Mid-America Employer Application FormsIowa Mid-America Employer Application FormsOhio Mid-America Employer Application Forms Michigan Employer Application
BrochuresMid-America Fully Funded Self Insured PlansMid-America Fully Funded Self Insured HSA Plans
Licensing FormsMulti-State Commission Agreement
Simply click on the document name below to view each file. ApplicationsClick Here to Enroll On-LineMulti-State Employee ApplicationGeorgia Mid-America Employer Application FormsIllinois Mid-America Employer Application FormsIndiana Mid-America Employer Application FormsIowa Mid-America Employer Application FormsOhio Mid-America Employer Application Forms Michigan Employer Application
BrochuresMid-America Fully Funded Self Insured PlansMid-America Fully Funded Self Insured HSA Plans
Licensing FormsMulti-State Commission Agreement