Legend Services - Where you can find the best insurance rates and service on the net! Try it, you'll love it! Legendserv.com     A Developed and Experienced "Legend" of Services

Mission: Legend Services where Legends are made. Give us a try and make your mark as a Legend.

Group Insurance Application Forms and Sales Literature

 

Census

Census Online
Census Spreadsheet

Blue Cross

Employee Application
Employer Application - Web Application only
Bank Draft Form
Employer TWC Form
Vision Brochure if over 10 employees
Cobra Form if over 20 employees
Common Ownership Form
Check List

United Healthcare

Employee Application
Employer Application
Employer Application Spresdsheet
Product Selection Form
EFT Draft Form
Participation Form(if 10 or more employees only)
Check List
Sales Brochure 1-50

United Healthcare All Savers

Employee Application
Employer Application
Employer App Spreadsheet over 20 Employees
Employer Excess Loss form
Check List
Out of State Surcharge
All Savers Transitional Reinsurance Form
All Savers Billing and Collections Agreement Form
All Savers Sales Plan Grid
All Savers Dental and Vision App
Dental & Vision Brochure

Aetna

Employee Application 2-50
Employee Application 51-100
Employer Application
Disclosure Form HMO
Contractor 1099 Form

Humana

Employee Application
Employer Application
Excel Spreadsheet Application
Bank Draft Form
Medical Spreadsheet Instructions
Ancillary Only Spreadsheet Instructions
Sales Grid 1-50 employees

VBA Accident Coverage

VBA Employee Brochure and Application
VBA Employer List Bill Application

Cost Savings Card Information

Cost Savings Card freshbenies offsets skyrocketing healthcare costs with telehealth, advocacy,
health discounts and more – all in one easy-to-use card. These non-insurance services
help employers control healthcare costs while members save time, money and frustration.

Cost Savings Card Employer List Bill application

Cost Savings Card Employer List Bill Application

Business Tax Savings Info

BizPlanNOW enable qualified small business owners to deduct 100% of federal, state, and FICA taxes for family medical costs, and on average save $4,000 or more a year! Key to these savings is the ability to declare medical expenses as a business expense rather than a personal deduction.

Health Savings Account Plan Info

HSA Informational Presentation


Gap plan to pay deductible

Gap Plan Information

Blue Cross Blue Balance

Employee Application
Employer Application
Administrative Agreement
Stop Loss Application
Check List
Check Payment Form
Stop Loss Policy

 

Aetna Insurance Blue Cross Blue Shield Insurance Cigna Insurance Humana Insurance VBA UnitedhealthOne Insurance Unitedhealthcare Insurance International Travel Health Insurance Prudential Genworth Baylor Scott & White Aliera Oscar IHC Petersen Christus Community Health Care Molina Ambetter
Dean and Lynn Clark
21818 Treemont Hollow Ct., Richmond, TX 77469-7250
Mobile Web Site: m.legendserv.com
Office 281-239-6966   Texting 281-239-6966   Toll Free 1-888-239-6966   Fax 281-239-6954
dean@legendserv.com   lynn@legendserv.com