Insurance

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Welcome to the NGALA Insurance Page!

Check here frequently for information on the NGALA Insurance program.

Your Insurance Program has recently undergone some changes in that Ms. Pelayo has left our organization.  We want to extend our appreciation to her and wish her the best.

We would like to now welcome CSM(Ret) Don Strickland who has accepted the Benefits Specialist Position.  He will be contacting your units to establish dates to visit your soldiers and airmen.  Should you need to contact him you may do so at the Benefits Specialist email address below.   A toll free number will be established in the very near future!

Should you have questions on billings you may continue to contact the Insurance Administrator with your questions.  An alternate means to contact the Administrator is the phone number listed below.  However, this number will be changed within the next 30-60 days, so check periodically.

Contact Information:

Benefits Specialist:

  • Email: Benefits@ngala.org
  • Phone: 877-913-0003
  • Mailing address: P.O. Box 8823, Alexandria, LA 71306-1823

Insurance Administrator:

  • Email:  Ins_Admin@ngala.org
  • Phone:  318-792-0066
  • Mailing address: P.O. Box 8823, Alexandria, LA 71306-1823

Frequently Used Insurance Documents:

NG-200-LA

    Page 1 - Cover Sheet

    Page 2 - Monthly Rates (WL-200)

    Page 3 - Monthly Rates (continued)

    Page 4 - Life Insurance Application Page 1

    Page 5 - Life Insurance Application Page 2

 

NG-800-LA

    Page 1 - Cover Sheet

    Page 2 - Premium/Benefit Information

    Page 3 - Enrollment Form (NG-ENRL-LA)

    Page 4 - Allotment Form (DD Form 2558)

 

Policy Reinstatement Form (Form 4784-1)

Application for Conversion of Group Insurance (5615-A-LA)

Authorization Agreement for Pre-authorized Payments (Form 4052)

Authorization to Start, Stop, or Change an Allotment (DD Form 2558)

Policy Service Form (Beneficiary Designation, Name Change, Address Change, Lost Policy)

Coverage Continuation Request (5616)

 

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Copyright © 2008 National Guard Association of Louisiana
Last modified: 19-Nov-2008