Additional Employee Resources
Plan Features
Everything You’ll Need to Know
Contact Human Resources, Jenny Mossholder Benefits Specialist, at [email protected] or contact her at 215-643-8806
Plan Documents
Madison National Life Insurance Co - EOI
Evidence of Insurability Form -
Madison National Life Insurance Co
Insurance Benefit Enrollment Form
Madison National Life Insurance Co - Employer's Statement of Claim for Benefits
Claim Form - Disability Benefits
Madison National Life Insurance Co - Employer's Statement of Claim for Benefits
Claim Form - Disability Benefits
Madison National Life Insurance Co: Beneficiary Form
Declaration Form
Employee Assistance Program
EAP Flyer
Websites
National Insurance Service EAP
Login: NISEAP | Password: EAP (Note: Password Is Case-Sensitive)
Contacts
National Insurance Service EAP - Customer Line
866.472.2734
HR Fax Number
215.643.8808
Madison National Life Insurance Co - Customer Line
800.356.9601 Extension 2410
Mail: P.O. BOX 2865 CLINTON, IA 52733-2865