Insurance
NESA Dental & Vision Benefit Plan
How to enroll in NESA Benefit Plans
For further questions or to enroll please contact your NESA
- Mary Hesse – (443) 738-2747
- Denise Jones – (443) 738-2782
Download the form below and email to:
mhesse@consolidatedinsurance.com
or fax it to: (410) 654-8886
Information Needed
EMPLOYEE
- Name
- Date of Birth
- Gender
- Address
- SS#
DEPENDENTS
- Name
- Relationship
- Date of Birth
- Gender
- SS#