Medicare Advantage (MAPD)
Fax Emrick: |
(217) 833-2046 |
Email: |
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Prescription Drug Plan (PDP)
Fax Emrick: |
(217) 833-2046 |
Email: |
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Medicare Supplement (MSUP)
Fax Emrick: |
(217) 833-2046 |
Email: |
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Mail: |
If Collecting Premium: |
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AARP Healthcare Options |
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UHC Insurance Company Co. |
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P.O. Box 105331 |
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Atlanta, GA 30348-9534 |
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Overnight Mail: |
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UHC Enrollment Division |
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4868 HA Hwy 86 |
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Foreste Park, GA 30297 |
Disenrollment: |
Client MUST call into Customer Service: (800) 523-5800 |
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Or Fax signed request: (248) 524-5749 |
Contact Information
Producer Help Desk: |
(888) 381-8581 |
Customer Support: |
(888) 381-8581 |
Lean Support: |
(888) 381- 8581 x 5 |
Deb Ostermeyer Agent Manager: |
Office: (314) 592-7717 |
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Cell: (314) 677-4499 |
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Quick Links
Supplies: |
Login to Jarvis: |
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www.uhcjarvis.com |
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Sales & Marketing Tools>Sales Material>Sales Materials Portal |
Provider Search: |
www.uhc.com/find-a-physician |
Dental Provider Search: |
Login Jarvis: |
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www.uhcjarvis.com |
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Provider Search> Dental |
Electronic Applications
LEAN: |
Login Jarvis: |
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www.uhcjarvis.com |
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Enrollment>Lean |
Medicare Advantage (MAPD)
FAX: |
(866) 756-5514 |
Mail: |
Aetna |
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P.O. Box 7770 |
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London, KY 40742 |
Contact Information
Broker Support: |
(866) 714-9301 |
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Customer Service: |
(800) 533-0367 |
Brent Bantz Broker Manager: |
Office: (314) 506-1541 |
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Cell: (314) 440-4838 |
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Electronic Applications
Ascend: |
www.aetnaproducerworld.com |
Request Access through Aetna Producer World |
AETNA-American Continental Insurance Company
Medicare Supplement (MSUP)
Fax Emrick: |
(217) 833-2046 |
Mail: |
AETNA |
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Senior Supplement Insurance |
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PO Box 14399 |
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Lexington, KY 40512-9700 |
Contact Information
Broker Support: |
(866) 272-6630 |
Disenrollment Letter fax to: |
(855) 291-0553 |
Quick Links
Supplies: |
www.aetnaseniorproducts.com |
Dental
Fax Emrick: |
(217) 833-2046 |
Mail: |
Aetna |
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Senior Supplement Insurance |
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PO Box 14399 |
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Lexington, KY 40512-9700 |
Broker Support: |
(800) 264-4000 |
Supplies: |
www.aetnaseniorproducts.com |
Provider Search: |
www1.careington.com/dentists/ |
Electronic Application: |
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Ancillary Products
Fax Emrick: |
(217) 833-2046 |
Mail: |
AETNA |
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Senior Supplement Insurance |
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PO Box 14399 |
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Lexington, KY 40512-9700 |
Broker Support: |
(800) 264-4000 |
Supplies: |
www.aetnaseniorproducts.com |
Electronic Application: |
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Medicare Advantage (MAPD)
Fax: |
(844) 222-3180 |
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Must use Allwell/Centene fax cover sheet |
Mail: |
Medicare Enrollment Department |
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P.O. Box 2020 |
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Farmington, MO 63640 |
Broker Support: |
(844) 202-6811 |
Electronic Application: |
Ascend Online/App Request Access: Broker Support |
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medicarebrokerservices@centene.com |
Sandy Volk McColl |
Phone: (314) 243-0478 |
Medicare Account Executive |
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Medicare Advantage (MAPD)
Fax: |
(844) 236-7967 |
Mail |
P.O. Box 659816 |
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San Antonio, TX 78265-9116 |
PAGE 7 of Application AGENCY NUMBER: MB2296 |
Prescription Drug Plan (PDP)
Fax: |
(800) 833-8554 |
Mail: |
P.O. Box 659403 |
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San Antonio, TX 78265-9714 |
PAGE 7 of Application AGENCY NUMBER: MB2296 |
Medicare Supplement (MSUP)
{{ac}Fax: |
(844) 236-7967 |
Mail: |
P.O. Box 659816 |
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San Antonio, TX 78265-9116 |
PAGE 7 of Application AGENCY NUMBER: MB2296 |
Contact Information
Broker Support: |
(877) 304-6470 |
Customer Service: |
(800) 633-4368 |
Application Status: |
(855) 277-6071 |
Regional Sales Manager: Thomas Edgeton |
Cell: (314) 502-7917 |
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Regional Sales Manager: Gina Wallis |
Cell: (314) 399-5012 |
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Regional Sales Manager: Kimberley Madsen |
Cell (417) 987-3758 |
Electronic Applications
mproducer: |
mproducer.anthem.com/mproducer/public/login |
Anthem Extras
Fax: |
(877) 238-1107 |
Mail: |
Anthem Blue Cross and Blue Shield |
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P.O. Box 5028 |
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Denver, CO 80217-5028 |
Customer Service: |
(877) 391-3897 |
Order Supplies: |
www.anthem.com |
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Medicare Advantage (MAPD)
Phone in or Use Quick Entry ALL Applications, then mail: |
Tele-Enrollment Line: |
(877) 259-8657 |
Mail |
PO BOX 12487 |
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St. Louis, MO 63141 |
Quick Entry: |
producer.essencehealthcare.com |
After Call-In Mail: |
1. Application
2. Checklist
3. Scope of Appointment |
Contact Information
Producer Support: |
(877) 259-8657 |
Outside Sales Manager: Jenifer Dickson |
Cell (314) 598-5585 |
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Office (314) 770-3402 |
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Quick Links
Provider Search: |
www.essencehealthcare.com/find-a-doctor/ |
Dental Provider Search: |
govservices.dentaquest.com |
Electronic Applications
Login: |
producer.essencehealthcare.com |
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Click on Start New Application |
Medicare Advantage (MAPD)
Fax: |
(877) 889-9936 |
Mail |
Humana Medicare Enrollment |
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P.O. Box 14309 |
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Lexington, KY 40512-4309 |
Vantage-Upload Paper Application: |
1. Scan and Save App and SOA on your Desktop.
2. Login to Vantage and Select "Upload Paper Applications."
3. Enter Client Name and Application Id (Found at the bottom of app).
4. Upload the paper application digital file and submit.
5. An email will be sent to you Humana secure mailbox for confirmation. |
Prescription Drug Plan (PDP)
Fax: |
(877) 889-9936 |
Mail |
Humana Medicare Enrollment |
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P.O. Box 14309 |
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Lexington, KY 40512-4309 |
Vantage-Upload Paper Application: |
1. Scan and Save App and SOA on your Desktop.
2. Login to Vantage and Select "Upload Paper Applications."
3. Enter Client Name and Application Id (Found at the bottom of app).
4. Upload the paper application digital file and submit.
5. An email will be sent to you Humana secure mailbox for confirmation |
Medicare Supplement (MSUP)
Fax: |
(877) 889-9936 |
Mail |
Humana Medicare Enrollment |
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P.O. Box 14309 |
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Lexington, KY 40512-4309 |
Vantage-Upload Paper Application: |
1. Scan and Save App and SOA on your Desktop.
2. Login to Vantage and Select "Upload Paper Applications."
3. Enter Client Name and Application Id (Found at the bottom of app).
4. Upload the paper application digital file and submit.
5. An email will be sent to you Humana secure mailbox for confirmation |
Contact Information
Agent Support: |
(800) 309-3163 |
Customer Support: |
(855) 691-9987 |
John Kelly Sr. Market Manager: |
Cell: (217) 720-3000 |
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Office: (314) 296-7529 |
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Electronic Applications
Enrollment Hub: |
www.enrollmenthub.humana.com |
Fast App: |
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Click on Fast App |
Medicare MSA
Fax Emrick: |
(217) 833-2046 |
Mail: |
Lasso Healthcare MSA |
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Attention: Enrollment |
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P.O. Box 60690 |
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Harrisburg, PA 17106-0690 |
Broker Support: |
(877) 293-2792 |
Customer Service: |
(866) 766-2583 |
Electronic Application: |
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Medicare Supplement (MSUP)
Fax Emrick: |
(217) 833-2046 |
Mail: |
Lumico Life Insurance |
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P.O. Box 10874 |
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Clearwater, FL 33757-8874 |
Broker Services: |
(855) 774-4491 |
Electronic
Application: |
www.service.iasadmin.com/gateway/login.aspx?pp=pFDD&pn=YZ&y1tv0=n |
Medicare Supplement (MSUP)
Fax Emrick: |
(217) 833-2046 |
Mail: |
United of Omaha Life Ins. Co. |
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PO Box 3608 |
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Omaha, NE 68103-3608 |
Disenrollment Fax letter to: |
(402) 997-1906 |
Broker Support: |
(800) 995-9324 |
Electronic Application: |
http://accounts.mutualofomaha.com |
Prescription Drug Plan (PDP)
Fax Emrick: (217) 833-2046 |
(217) 833-2046 |
Mail: |
Mutual of Omaha Rx |
Broker Support: |
P.O. Box 3625 |
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Scranton, PA 18505 |
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(877) 775-1360 |
ON THE APPLICATION PAGE 13 Under Broker Information you must Fill in the Carrier # Mutual Plus Carrier # 8485 Mutual Value Carrier # 8481 |
Prescription Drug Plan (PDP)
REQUIRED: ALL PAPER Applications must be ENTERED online at: |
www.silverscriptagentportal.com |
Original Application must be either Faxed to: |
(866) 552-6205 |
OR Emailed Encrypted |
enrollmentverification@caremark.com |
Mail: AFTER entering online: |
ATTN: Agent Processing |
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PO Box 30002 |
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Pittsburgh, PA 15222-0330 |
Broker Support: |
(888) 277-4174 |
Customer Service: |
(866) 235-5660 |
Supplies: |
www.silverscriptagentportal.com |
Electronic Applications: |
www.silverscriptagentportal.com |
Medicare Supplement (MSUP)
Fax Emrick: |
(217) 833-2046 |
Mail: |
Renaissance Life & Health Ins.
Health Administrative Office |
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PO BOX 27248 |
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Salt Lake City, UT 84127-0248 |
Broker Support: |
(309) 323-8400 |
Underwriting: |
(800) 322-0160 ext 2823 or 2642 |
Customer Service: |
(844) 202-4150 option 1 |
Supplies: |
https://ren.admin-portal.org. |
Electronic Applications: |
https://ren.admin-portal.org. |
Medicare Supplement (MSUP)
Fax: |
(866) 834-0437 (use Fax Cover Sheet provided) |
Mail: |
4333 Edgewood Road NE |
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Cedar Rapids, IA 52499 |
Electronic Application: |
https://www.taagentnetinfo.com/ |
Prescription Drug Plan (PDP)
Fax: |
(866) 388-1521 |
Paper Application Submitted via Fax: |
1. Fax App. with barcode linked with Agent ID
2. Barcode must be submitted as the FINAL page
3. Barcode will be scanned/connected to Agent |
AVL |
(877) 297-3628 |
Broker Support: |
(866) 822-1339 |
Broker Support RFI: |
(877) 677-5609 |
Customer Service: |
(888) 550-5252 (Wellness Rx, Classic Rx Saver |
Customer Service: |
(833) 207-4241(Rx Select, Value Plus and Value Script) |
Supplies: |
Electronic Application: |
www.wellcarerep.com/agentID |
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