Product Categories:

• Voluntary Products

  • Voluntary Life/AD&D
    • USAble Life
      • Note: The completed version of the Evidence of Insurability form MUST be downloaded with the “Voluntary Life Employee App”
      • Evidence of Insurability Form
      • USAble Voluntary Life Employee App
      • USAble Voluntary Life Employer App
    • Fort Dearborn Life
      • Note: The completed version of the Evidence of Insurability form MUST be downloaded with the “Voluntary Life Employee App”
      • Benefits Manager Registration
      • Evidence of Insurability Form
      • FDL Voluntary Life employee App
      • FDL Voluntary Life Employer App
  • Voluntary STD
    • USAble Life
      • USAble Voluntary STD Employee App
      • USAble Voluntary STD Employer App
    • Fort Dearborn Life
      • Benefits Manager Registration
      • FDL Voluntary Employee App STD LTD
      • FDL Voluntary Employer App STD LTD
      • W-2 Agreement
  • Voluntary LTD
    • USAble Life
      • USAble Voluntary LTD Employee App
      • USAble Voluntary LTD Employer App
    • Fort Dearborn Life
      • Benefits Manager Registration
      • FDL Voluntary Employee App STD LTD
      • FDL Voluntary Employer App STD LTD
      • W-2 Agreement
  • Voluntary Dental
    • Fort Dearborn Life
      • PPO
        • FDL Employee Vol PPO 4-Tier App
        • FDL PPO Vol Dental Master App
      • Indemnity
        • FDL Voluntary Dental Employee App
        • FDL Voluntary Dental Employer App
    • Total Dental Administrators
      • Custom PPO
        • TDA Custom PPO 4-Tier
        • TDA Custom PPO ER App
      • DMHO
        • DMHO Prepaid 2-tier Enrollment Form
        • DMHO Prepaid 3-tier Enrollment Form
        • DMHO Prepaid 4-tier Enrollment Form
        • DMHO Prepaid Employer Application
        • DMHO Prepaid Employer Membership Agreement
        • Group DHMO Provider Directory
      • Premier & Advantage
        • Premier Advantage ER app
        • Premier Advantage EE app
      • Dental Cents
        • TDA Dental Cents ER App
  • Voluntary Full Vision and Materials Only
    • Avesis
      • Avesis EE app (AZ)
      • Avesis EE App (out of state)
      • Avesis ER App (AZ)
      • Avesis ER App (out of state)
    • EyeMed
      • EyeMed Employee Enrollment Form
      • EyeMed Employer App
  • Worksite Products
    • Cancer Plan

      • Please contact your CSA representative
        at (602) 864-5230 for more information

    • Accident Plan

      • Please contact your CSA representative
        at (602) 864-5230 for more information

    • Hospital Indemnity Plan

      • Please contact your CSA representative
        at (602) 864-5230 for more information

  • Voluntary Long Term Care
    • MedAmerica Insurance Company
      • Premier Enrollment App

• Employer Paid Products

  • Employer Paid Life/AD&D - True
    • USAble Life
      • USAble True Employee App
      • USAble True Employer App
    • Fort Dearborn Life
      • Benefits Manager Registration
      • FDL True Employee App
      • FDL True Employer App
  • Employer Paid Life/AD&D - Trust
    • USAble Life
      • USAble Trust Employee App
      • USAble Trust Employer App
    • Fort Dearborn Life
      • Benefits Manager Registration
      • FDL Trust Employee App
      • FDL Trust Employer App
  • Employer Paid STD & LTD - True
    • USAble Life
      • USAble True Employee App STD, LTD
      • USAble True Employer App STD, LTD
    • Fort Dearborn Life
      • FDL True Employee App STD, LTD
      • FDL True Employer App STD, LTD
  • Employer Paid STD & LTD - Trust
    • USAble Life
      • USAble Trust Employee App STD, LTD
      • USAble Trust Employer App STD, LTD
    • Fort Dearborn Life
      • Benefits Manager Registration 12_2008
      • FDL Trust Employee App
      • FDL Trust Employer App
  • Employer Paid Dental
    • Fort Dearborn Life
      • PPO
        • FDL PPO Group Dental Master App
        • FDL Employee Grp PPO 4-Tier App
    • Total Dental Administrators
      • Custom PPO
        • TDA Custom PPO 4-Tier
        • TDA Custom PPO ER App
      • DMHO
        • DMHO Prepaid 2-tier Enrollment Form
        • DMHO Prepaid 3-tier Enrollment Form
        • DMHO Prepaid 4-tier Enrollment Form
        • DMHO Prepaid Employer Application
        • DMHO Prepaid Employer Membership Agreement
        • Group DHMO Provider Directory
      • Dental Cents
        • EE app_2 tier-Dental Cents
        • EE app_3 tier-Dental Cents
        • TDA Dental Cents ER App
  • Employer Paid Full Vision and Materials Only
    • Avesis
      • Avesis EE app (AZ)
      • Avesis EE App (out of state)
      • Avesis ER App (AZ)
      • Avesis ER App (out of state)
    • EyeMed
      • EyeMed Employee Enrollment Form
      • EyeMed Employer App

• Value Added Services

  • Section 125 Premium Only Plan
    • CSA PC Section 125 Adoption Agreement
    • CSA PC Section 125 Agreement
  • Flexible Spending Account

    • Please contact your CSA representative
      at (602) 864-5230 for more information

  • COBRA

    • Please contact your CSA representative
      at (602) 864-5230 for more information

• Individual Products

  • Short - Term Medical
    • Link for online application
  • RX Plan
    • RX Plan Application
    • Link for online application
  • Travel Insurance
    • Travel and Rates
    • Link for online application
  • Individual Dental
    • Total Dental Administrators
      • A800 Schedule of Benefits
      • A800 Only App
      • A800 Booklet
      • DMHO A800 Provider Directory
      • Dental Companion App
      • Link for online application

Request a Proposal

• To request a proposal or receive more information on CSA General Insurance Agency, Inc. services click here.

Broker Contracting

• For information on becoming contracted with CSA General Insurance Agency, Inc. click here.