Enrollment Forms 
                             
   
                             
   
                              
                             
                            Agent Forms 
                             
   
                              
                             
                            Cancellation Forms 
                             
   
                              
                            
  
                            Customer Support 
                              
			     
			    
                            
                            You can mail or fax forms to:
  
                            Professional Benefit Administrators 
                            31 S Center St 
                            Winder, GA 30680-3457
  
                            Phone: (770) 963-3939 
                            Toll-free: (800) 578-2082 
                            Fax: (770) 963-6126 
                            Toll-free Fax: (888) 264-6975 
                            
                            
                             
   
                         | 
                        
                        
 
                            
  
    
    | 
      Professional Benefit
      Administrators has over 20 years of experience assisting in the
      administration of health-related supplemental benefits including Dental Insurance,
      Life Insurance, Vision Insurance, Short and Long-Term Disability, and Critical Care.
       The uniqueness of our
      administrative system gives us the ability to not only specialize in the
      administration of payroll deduction for federal employees nationwide, but also
      allows us to offer a variety of payment options to all of our benefit
      subscribers. 
      In order to be competitive in
      service and product availability, we represent the following companies: 
     | 
     
    
     
                1DENTAL 
                5 STAR LIFE 
                AFLAC 
                AIG AMERICAN GENERAL 
                ALL STATE 
                ALLY 
                AMERICAN FIDELITY 
                AMERICAN GUARDIAN 
                AMERICAN HERITAGE 
                AMERICAN NATIONAL 
                AMERICO 
                AMERITAS 
                APL 
                ASSURITY LIFE 
                CAREINGTON DENTAL 
                CENTRAL UNITED LIFE 
                CITIZENS SECURITY 
                COAST 2 COAST 
                COLONIAL LIFE 
                COMPBENEFITS 
                DELTA DENTAL 
                DENTAL PLUS 
                DENTAL SOURCE 
                DINA DENTAL 
                DOMINION DENTAL 
                EMC 
                FIDELITY & GUARANTEE 
                GLOBE LIFE 
     | 
       
      GPM 
      HUMANA 
      KANAWHA 
      LEGAL SHIELD 
      LIBERTY DENTAL 
      LIFE OF THE SOUTHWEST 
      MADISON NATIONAL LIFE 
      MANHATTAN LIFE 
      MASS MUTUAL 
      MIDLAND NATIONAL 
      MTL 
      NATIONAL LIFE GROUP 
      NORTH AMERICAN LIFE 
      PIC SUNLIFE 
      PRINCIPAL 
      SOUTHWESTERN LIFE 
      OHIO STATE LIFE 
      SANTANDER CONSUMER 
      STANDARD LIFE & ACCIDENT CO. 
      SUPERIOR FUNDING 
      TEXAS LIFE 
      TRANSAMERICA 
      TRUSTMARK 
      UNION CENTRAL 
      WASHINGTON NATIONAL 
      WEST COAST LIFE 
      WILCO LIFE INSURANCE CO.
      
 |  
 
 | 
     
   
   
                         |