Your National General Group ID: L202770

 National General Employee Application or Waiver

​Complete your application or waiver online with link above. It will be filed directly with National General, securely. If you have any questions please call Clint at 888.587.9370.

*Employee Term Form

*Employer Use Only
Employee Education - National General Welcome Kit
Welcome to a new style of health insurance. It may be a little different, in some cases, than you are used to be can end up being on of the best plans you'll ever have. Just make sure to download the Employee Welcome Kit below to learn all about How It Works. You can also call Clint @ 888.587.9370 anytime. 

National General
​Medical Benefit Summaries

Click on an image below to download the summaries of the benefit options available to you.
Plan 1 - $1000/$35/20%
Plan 2 - $1500/$35/20%

These are PPO plans with No Network!
You can go to any doctor nationwide and never be billed for out of network service. 

*Weekly Employee Medical Rates

Your employer contributes 50% of the "Employee Only" rate for plan #2. This means that the remaining 50% will be deducted pre-tax from your paycheck and any expenses related to the addition of dependents is the sole responsibility of the employee. 
This is your weekly rate with the Medley contribution
Plan 1 - $1000
 EE - $32.26
ES - $123.43
EC - $90.87
Family - $175.52
Plan 2 - $1500
EE- $32.87
ES - $124.91
EC - $92.04
Family - $177.50

*Until official approval rates are subject to change. This is an estimate based on current enrollment, demographic information and plan design.

The same two benefit plans summarized in a different way:
"If this happens, you will pay this". 

Plan 1 - $1000/$35/20%
Plan 2 - $1500/$35/20%​

Your Humana Group ID:  840887​

Humana Application & Waiver

Use the button below to pull up and complete your Humana Dental & Vision application online. 
Please note: This is only for Dental & Vision. Please do not try to complete any other section.
Only fields that accept text are required. 
Your Employer's
​Humana Dental Benefit
Click on the picture below to download the
entire benefit summary
Your Employer's
​Humana Vision Benefit
Click on the picture below to download the
entire benefit summary
Your Weekly Rates for Dental
Employee
$5.16
Employee & Spouse
$10.33
Employee & Children
$13.17
Family
$18.33
Your Weekly Rates for Vision
Employee
$1.48
Employee & Spouse
$2.97
Employee & Children
$2.82
Family
$4.43

Helpful Contact Information

National General Member Advocacy Program
Clint Perry - Benefit Consultant
Toll Free - 888-306-0905
Toll Free - 888.587.9370
Local - 719.358.6519
Mobile 760.224.0416

clint@unlimitedbenefits.com
​
15954 Jackson Creek Parkway
​Monument, CO 80132
Melissa Medina- Payroll Coordinator
melissam@medleycom.net