Insurance Benefits
Please mail my FREE Information Packet(s) on the following American Legion-approved plans:

TRICARE Standard Supplements
Short Term Recovery Plan
Reserve Hospital Cash Plan
Accidental Death and Dismemberment Plan

To receive more information on the Market Basket Health Plan, call TOLL FREE 1-800-503-9230 (Request Number 013035-1-1-1).

To receive more information on the Small Employer Group Insurance Plan, call TOLL FREE 1-800-503-9230 (Request Number 013035-1-1-1).

To receive more information on the Dental Plan, call TOLL FREE 1-800-522-1857 (Request Number 013035-1-1-1).

Please fill in all information:

* First Name:
* Last Name:
* Street Address:
Street Address:
* City:
* State:
* Zip Code:  - 
Member Number:
E-mail Address:
Phone Number:  -   - 
Date of Birth: Day   Month   Year


    

* Required information. Your request cannot be submitted unless all required information is completed.

When you have completed all information requested above, submit your request and your Information Packet(s) will be mailed to your address. This information cannot be sent electronically.

These policies have costs, exclusions, limitations, reductions in benefits, and terms of coverage. Please contact The American Legion Insurance Plans Administrator for complete details. Coverage may not be issued to residents of all states.