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NEA 24 Hour Accident Coverage Plan Features: • Helps pay your medical expenses for hospital emergency room and confinement, doctor and surgeon, lab test and x-rays, and ambulance • Choose any doctor or hospital • NEW CallMD, a network of medical doctors you can call for a consultation or medical needs anytime, any day! • Accidental Death & Dismemberment benefits • Automatic acceptance through age 64 • Benefits are paid directly to you or your provider.

GAC Quote   Select Your State*: Select State California Gender Age Self: Select Male Female 1819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364 Spouse: Select Male Female Select 1819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364 Number of Children: Choose Plan 24 Hour Accident Coverage TO VIEW BENEFIT DETAILS - CLICK HERE Membership with Accident Coverage TO VIEW BENEFIT DETAILS - CLICK HERE   Quote Now Re-run Quote   * NEA 24 Hour Accident Coverage is available only in listed states. For more information please contact your agent.

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Product   Premium $  Value Health Insurance Plan Classic Monthly: Semi Annual: Annual: Silver Monthly: Semi Annual: Annual: Gold Monthly: Semi Annual: Annual: Platinum Monthly: Semi Annual: Annual:

Product   Premium $  Value HIP Insurance Plan Classic Monthly: Semi Annual: Annual: Silver Monthly: Semi Annual: Annual: Gold Monthly: Semi Annual: Annual: Platinum Monthly: Semi Annual: Annual:

Daily Hospital Cash Select Option: Option 1 ($1000 - From First Day) Option 2 ($500 - From First Day) Option 3 ($100 - From First Day) Product Premium $ Value Med Insurance Plan **Monthly: * Quarterly: * Semi Annual: * Annual: *

Product   Premium $ Select  Value Access Guarantee* Option 1 Option 2 Option 3 Option 4 Product   Premium $ Select  Value Access Guarantee** Option 5 Option 6 Option 7 Option 8 Product   Premium $ Select  Value Access Guarantee** Option 5 Option 9

Product   Premium $ Select  24 Hour Accident Coverage* Coverage $ 2,000 Coverage $ 5,000 Coverage $ 7,500 Coverage $ 10,000 Coverage $ 15,000 Coverage $ 20,000 Coverage $ 25,000

Product   Premium $ Select 24 Hour Accident Limited Benefit Coverage* Coverage $2,000 Coverage $5,000 Coverage $7,500

Product Monthly Premium $ Select  Value Rx Drug Card *

Product   Premium $ Select  Membership with Accident Coverage* Coverage $ 2,500 Coverage $ 5,000 Coverage $ 7,500 Coverage $ 10,000

Product   Premium $ Select  NEA 24 Hour Accident Coverage* Coverage $ 2,000 Coverage $ 5,000 Coverage $ 7,500 Coverage $ 10,000 Coverage $ 15,000 Coverage $ 20,000 Coverage $ 25,000

Product   Premium $ Select  VBA 24 Hour Accident Plan* Coverage $ 2,000 Coverage $ 5,000 Coverage $ 7,500 Coverage $ 10,000

Product Monthly Premium $ Select  Value ER Plan *

Product Monthly Cost $ Select  VBA Truckers Occupational Accident   Insurance Program *

Product Monthly Membership Fee $ Select  NCE Membership - EDS* **

Product Monthly Membership Fee $* Select  VBA OptumHealth Allies*

Product Monthly Membership Fee $* Select  CallMD*

Product   Premium $  Value Care Plus Dental Plan Details Monthly: * Quarterly: * Semi Annual: * Annual: *

Product   Premium $ Select  Value Access Guarantee - NO NEW WAITING PERIODS COVERAGE OPTIONS Option A Option B Option C Option D Option E Option F Product   Premium $ Select  Value Access Guarantee - NO NEW WAITING PERIODS COVERAGE OPTIONS Option G Option H Option I Option J Option K Option L

Modify Quote Apply Now   * Includes a $9.95 monthly administration fee.

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I agree that, by using this site, my agreement or consent will be legally binding and enforceable and the legal equivalent of my handwritten signature.

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	I don't want to conduct this transaction electronically

The Occupational Accident insurance offered by the above listed motor carrier. I understand that coverage becomes effective when this application has been received and approved by Great American Insurance Company or its authorized agent. I understand that I will no longer be eligible for coverage upon my 70th birthday and that coverage will therefore cease. I further understand that coverage terminates on the date the policy is terminated; or I am no longer under contract with the above mentioned motor carrier; or my premium is not paid. I also understand that coverage may be available on an individual policy subject to underwriting guidelines in effect at termination of the above policy.

I Accept I Reject