How to Apply

The application is a file that can be viewed, completed, printed and saved. To do this, you must have the Adobe Acrobat Reader. If you need this reader, click here for an free and easy installation. If you wish to have an application mailed to you, please contact us at 800-282-4882.

The application can either be viewed online or downloaded to your system for later use. Please use the following instructions. (You may wish to print them out).

Applications and forms available (click on name to open, or right-click to save it to your computer):

Health Questionnaire - For Groups with 2-19 Employees

Employee Census

Please note: You should first fill out an online quote request form, before submitting these applications.

View and Print Online

1. Click on the application name

2. When the application is on your screen, you will see a menu of commands along the top. Select File and then from that menu select Print.

3. Use the back arrow on the browser window to return to this page.

Download Application to Your Computer

1. To download the application, right-click on the application name.

2. Choose Save Link As (Netscape) or Save Target As (Internet Explorer) to save the file to your desktop (Select Desktop in the box marked Save in).

3. Double-click on the new icon on your desktop when the file has finished downloading.

"File" then "Print")

Submitting Your Application

1. Review and/or complete the application. Please make sure that all questions have been answered. If the question does not apply to your particular situation, please indicate by answering either "N/A" or "No".

2. Sign and date all applications

3. Please retain a copy for your records and return the original application by mail to:

MAG Mutual Financial Services, Inc.
PO Box 52979
Atlanta, GA 30355-0979

If you have any questions while completing the applications, please contact us at 404-842-5600 or 800-282-4882.