Vision Insurance Enrollment
- Member Info
- Coverage
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Welcome!
Protect you and your family by applying for GEBA’s Vision Insurance. Before you begin to fill out the application, we recommend that you have the following information listed in the checklist ready.
If preferred, download and complete the Vision Insurance Application to return via fax, mail or email.
Fax: (410) 846-6420 Email: [email protected] Mail: GEBA, 1362 Mellon Road, #100, Hanover, MD 21076
Vision Insurance is underwritten by National Vision Administrators, LLC; 1200 Route 46, West Clifton, NJ 07013. View NVA Privacy Notice.
- Member Info
- Coverage
- Preview
Checklist
- Bank account information for payment method
Estimated time to complete: 15 minutes
You will be required to complete the entire application once you start since for security purposes we do not save the application for future access.
Vision Insurance is underwritten by National Vision Administrators, LLC, 1200 Route 46, West Clifton, NJ 07013. View NVA Privacy Notice.
