Contracting

Get Contracted

Get Quotes

Information

• Product Availability Map
• Product Brochure
• Benefits Brochure

Forms & Guides

• Underwriting Guide
• Online Enrollment Guide
• Supply Order Form:
  • Fax: 402-351-2456
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Contact Information

• Broker Portal
• Broker Support: 800-693-6083
• Underwriting: 800-995-9324
• Consumer Site
• Customer Service: 800-775-6000

Application Submission Options

• Online Enrollment
• Fax: 866-799-9076
• Mail:
  Mutual of Omaha
  P.O. Box 3608
  Omaha, NE 68103

Contracting

Get Contracted

Get Quotes

Information

• Brochure
• Product Availability Chart

Forms & Guides

• Underwriting Guide
• Order Supplies
• Supply Order Form
• Online Enrollment Guide

Contact Information

• Broker Portal
• Broker Support: 1-800-713-4680
• Underwriting: 877-368-4692
• Consumer Site
• Customer Service: 1-800-552-7879

Application Submission Options

• Online Enrollment
• Fax: 281-368-7344
• Fax Cover Sheet
• Mail: Philadelphia American Life Insurance Co.
  Attn: Underwriting
  PO Box 4884 Houston, TX 77210-4884
   

Contracting

Get Contracted

Get Quotes

Information

• UA Brochure
• UA Product Availability
• Globe NY Brochure

Forms & Guides

• UA Enrollment Guide
• Globe NY Enrollment Guide
• UA Underwriting Guide
• Globe NY Underwriting Guide
• UA Supply Order
• Globe NY Supply Order

Contact Information

• Broker Portal
• Support Contact Information
• Consumer Site

United American:

• Broker Support: 800-925-7355
• Customer Service: 800-331-2512

Globe Life- NY:

• Broker Support: 315-451-7975
• Customer Service: 315-451-2544

Application Submission Options

• Online Enrollment
• Fax the application, IF the initial premium
  payment AND subsequent premium
  payments are authorized for bank draft: 1-972-767-4462.
  • Fax Sheet
• Mail paper application, if there is a check for
  PO the initial premium*, to:
  Globe Life Insurance Company of New York,
  P.O. Box 3125,
  Syracuse, NY 13220-3125

Contracting

Get Contracted

Get Quotes

Information

• Agent Field Guide
• PA Brochure
• State Availability Chart
• Unacceptable Conditions List
• Unacceptable Medications List

Forms & Guides

• Supply orders:
  • Log-in to Broker Portal
  • Click Order Supplies Online
  • Select State & item category
  • Enter in quantity & Add to Cart
  • Check Out
• Download forms:
  • Log-in to Broker Portal
  • Click “Application Kits, Brochures, Claim Forms, Rate Sheets and more” on the right of the page
  • Choose the applicable state and product group
  • Click form and save

Contact Information

• Broker Support Phone: 1-800-848-1124 ext. 304
• Broker Support E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
• Customer Services: 1-800-848-1124 ext. 300
• Broker Site
• Consumer Site

Application Submission Options

• Fax number: 1-800-948-1039