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Self Funded
Fully Insured


Self Funded

Agent Appointments
  ANTEX Agent Appointment.pdf

Brochures
  USBenefits Brochure 2010.pdf

Contracts
ANTEX to be used in all states except: Maine, New Jersey, New York & Vermont
  ANTEX Treaty.pdf
  ANTEX Specific TLO.pdf
  ANTEX Specific Advanced Funding.pdf
  ANTEX Aggregate Accommodation.pdf
  ANTEX Aggregate TLO.pdf
  ANTEX Renewal Option Rider.pdf

ANICO to be used in Maine, New Jersey, & Vermont
ANICO Treaty.pdf

ANICO Specific TLO.pdf
ANICO Specific Advance Funding.pdf
ANICO Aggregate TLO.pdf
ANICO Aggregate Accommodation.pdf
American National Insurance Company.pdf

TPA Approval
  SIIA TPA Questionnaire.doc

Sold Case
  ANTEX Disclosure Statement.doc

Premium
  Premium Remittance Summary.xls

Claims
  Aggregate Reimbursement Request.xls
  Specific Excess Reimbursement Request.doc
  Large Claim Notification.doc
  Aggregate Stop Loss Report.xls

 

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© USBenefits Insurance Services, LLC (USB)
DBA: Employer Stop Loss Insurance Services, LLC
(CA Only)

43 Corporate Park,   Suite 101, Irvine, California  92606
Please send all quote requests to:
quotes@usbins.net
and information requests to: info@usbins.net
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  (877) 877 - 4USB (4872)
(949) 468 - 3020
(866) 504 - 4USB (4872)
(949) 468 - 3029