Enrollment - NRA Approved Service

Major Med Question*

Do all persons proposed to be insured have existing comprehensive health insurance coverage (employer plan, HMO, or other insurance policy) providing essential health benefits? (Persons without such coverage are not eligible for this insurance coverage.)

Yes

No

You are not eligible for this supplemental coverage

Name*

First Name * Last Name *

NRA Membership ID

Email Address*

Address*

‎ ‎ City State Zipcode

Phone

Provide required member details and choose whether or not you’d like to also cover your spouse.

Member Date of Birth*

Member Gender*

Male

Female

Add Spouse

Name*

Spouse First Name * Spouse Last Name *

Spouse Date of Birth*

Spouse Gender*

Male

Female

Cancer Indemnity

--

$50 per-day benefit paid for Cancel Care unit

Added to your plan.

Intensive Care Unit

--

$50 per-day benefit for Intensive Care unit

Added to your plan.

Rehabilitation

--

$50 per-day benefit for Rehabilitative Facility after a hospital stay

Added to your plan.

The rates quoted are based on age as of today. Your premium shown on your bill will reflect your age as of your effective date and may differ from above.

Payment Method

Bank Transfer $1.25 processing fee

Credit Card $3.00 processing fee

Please enter your Member Number to continue to the site

Hospital Help Plan

Cancer Indemnity

Intensive Care Unit

Rehabilitation

Life Insurance

Personal Insurance

Emergency & Accident

Property & Liability