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Agents & Broker Section Employers Section Members Section Providers Section
 

Wednesday, August 20, 2008

 
    Welcome to the Agent/ Broker section of our Evergreen web site.  Below you will find many of the most commonly used items utilized by agents who actively market our product.  
 
 
For your convenience, we have converted all items to Adobe Acrobat (pdf) format so you can print them from your PC.  If you find you need additional assistance, please email our Agent Services division and we will be happy to attend to your needs.
Marketing Brochures and Marketing Material
Agent FAQ's Agent/Broker's Frequently Asked Questions
Census Evergreen Census Form
Formulary Printable Evergreen Formulary
Underwriting Guidelines Underwriting Guidelines for Agents/ Brokers
Change form Change form

Benefit Plans

Benefit Plans

Employer Group Application Employer Group Application in (pdf) format
Employee Enrollment Form Employee Enrollment Form in (pdf) format
GA 90 Day Continuation Election Form GA 90 Day Continuation Election Form in (pdf) format
Get the Adobe Acrobat Reader to view the above forms
 
 
 
 
 
     
707 Center Street Suite 110, Columbus, GA 31902-0790
(706) 660-6175 ▪ Fax (706) 660-6515
Members Services (888) 294-9451 ▪ (706) 660-6550 ▪ Fax (706) 660-6275
Email: Evergreen.Suggestions@crhs.net
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