assurant-logoAssurant Health has been in business since 1892 and is the brand name for products underwritten and issued by Time Insurance CompanyJohn Alden Life Insurance Company and Union Security Insurance Company.  Assurant Health is built on the cornerstone of consumer choice — providing ongoing flexibility and choices in health insurance financing solutions as well as choice of providers.  As a leader in the individual insurance market Assurant Health’s legal entities, Time Insurance Company and John Alden Life Insurance Company, have each been assigned an A.M. Best rating of A- (Excellent). Union Security Insurance Company is rated A (Excellent).

PERSON(S) TO BE INSURED
  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
SPOUSE INFORMATION
DEPENDENTS
PERSONAL INFORMATION
  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (valid email required)
 

cforms contact form by delicious:days