Georgia Restaurant Association is offering a Limited Accident & Sickness Insurance plan to its members' employees. Insured employees may also enroll their dependents.
 
Enroll Here
 
Complete the form online
and print it to Fax or Mail

 
or
 
Use Our Secure Form
To Enroll On Line
 
To ensure secure transmission of your
information, all transactions for this
website are done by the administrator
using a thawte certificate issued to affinitybenefits.com.
 
This document is presented in Adobe Acrobat format. Click this link to obtain a free copy of the Adobe Acrobat Reader.
 
NOTE: Your coverage will become effective the first day of the month after your application is processed and approved.
 
This coverage is underwritten by ACE American Insurance Company, part of the ACE Group of Companies, Rated A+ (Superior) by A.M. Best Company for financial strength and operative performance (05/2006).