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Employers and employees can rely on us to help them navigate the maze of benefit plans, services, and regulations

Aita & Associates
Insurance Marketing, Inc.
7005 Hazel Cotter Court #G3
Sebastopol, CA 95472

Tel:  707-829-8606
  888-829-8606
Fax:  707-829-8924

CA License #0649963

Email Us



Allied Forms:

The following documents are in Portable Document Format (PDF). You will need Adobe Acrobat Reader to view these forms. If you do not have Acrobat Reader, click the Adobe logo at right to download the FREE program.

Employer Forms/Guides:
Employer Enrollment For Group Coverage Application
Administrative Guide (All Plans)
Administrative Guide (Dental Plans Only)
Employee Forms:
Employee Enrollment Application for AIG
Employee Enrollment Application for Horizons
Claim Form
Miscellaneous Forms:
Agent Request for Proposal
Agent Supply Request Form
New Case Transmittal Form
Allied National Sales Brochure
Go to the Allied National Website

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Nancy J. Aita, CEBS, CA License # 0649963
Aita & Associates Insurance Marketing, Inc.
7005 Hazel Cotter Court #G3
Sebastopol, CA 95472
Tel: 707-829-8606
Fax: 707-829-8924
Toll-free: 888-829-8606

Email Us

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