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Contracting
Information
Forms & Guides
Contact Information
- Broker Portal
- Broker Services: 833-504-0336
- Consumer Site
- Customer Services: 833-692-5692
- Member Services: 833-504-0336
Application Submission Options
- Fax: 877-380-2777
- Mail new apps paying by check to:
Tier One Insurance Company
Tier One P.O. Box 14399
Insurance Company Lexington,
KY 40512-9700
Information is subject to change. Please refer to carrier website for most up to date forms and guides.