• Home
  • About
    • About Us
    • What's New
    • Contact Us
  • Health Plans
  • Self-Funded Admin
  • Providers
  • Agents
  • Clients

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
BrochuresMid-America Fully Funded Self Insured PlansMid-America Fully Funded Self Insured HSA Plans
Licensing FormsMulti-State Commission Agreement
Mid-America Associates, Inc.
560 Kirts Blvd, Suite 125Troy, MI 48084
Toll Free (800) 482-0945
© 2023 Mid-America Associates, Inc. All rights reserved.

We use cookies to enable essential functionality on our website, and analyze website traffic. By clicking Accept you consent to our use of cookies. Read about how we use cookies.

Your Cookie Settings

We use cookies to enable essential functionality on our website, and analyze website traffic. Read about how we use cookies.

Cookie Categories
Essential

These cookies are strictly necessary to provide you with services available through our websites. You cannot refuse these cookies without impacting how our websites function. You can block or delete them by changing your browser settings, as described under the heading "Managing cookies" in the Privacy and Cookies Policy.

Analytics

These cookies collect information that is used in aggregate form to help us understand how our websites are being used or how effective our marketing campaigns are.