Apply for Insurance

Applying for insurance doesn't have to be confusing or complicated. And with the ADA Insurance Plans, we make it as easy as possible for you to apply for the coverage you need.

You can download any application for insurance by clicking on the button(s) here. Print the form(s) you need, then answer all questions before signing and submitting your application(s) via fax or mail.

When you click on any button, please be patient while the application is retrieved. Because the file is large, it may take several minutes to download. (Downloading these forms requires a free copy of Adobe Acrobat Reader.)

Information about our insurance plans is available for your convenience, or you can contact us at 866-607-5338 or ada@gwl.com for personal assistance.

Please note: When you apply for insurance, proof of insurability may be required through medical and/or financial underwriting. A decision can normally be made 2-3 weeks after all necessary information and medical exam results have been received. You can help expedite the underwriting process by submitting certain required documents along with your application. Click here for a list of underwriting requirements for each insurance plan.


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