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United American

Contact Information

United American:

Globe Life- NY:


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.
  • 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
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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United Commercial Travelers of America

Contracting

Get Contracted

Get Quotes


Information


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


Application Submission Options

  • Fax number: 1-800-948-1039
Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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UnitedHealthcare

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 1-888-836-3985
  • Applications must be submitted by fax if there is no check with the application, and if the applicant is already a member of AARP.
  • Mailing Address:
    United HealthCare Insurance Co.
    PO Box 105331
    Atlanta, GA 30348
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Anthem Blue Cross

Contracting

Get Contracted

Get Quotes


Information


Forms & Guides

    Contact Information


    Application Submission Options

    • Fax: (preferred) 844-236-7967
    • Mail:
      Anthem Blue Cross and Blue Sheild
      P.O. BOX 659816
      SanAntonio, TX 78265-9116
    Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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    Florida Blue

    Contracting

    Get Contracted


    Information


    Forms and Guides

    Contact Information


    Application Submission Options

    • Online Enrollment
    • Fax: 904-997-5715
      • Applications should only be faxed
         if the broker agent is having
         technical difficulties at the time of
         enrollment. In this scenario, the
         application must be faxed to the
         Florida Blue Billing and Enrollment
         Department.
    • Mail: Florida Blue Medicare
       PO Box 45296
       Jacksonville, FL 32232-5296

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