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% Document Info
\author{laceyrobertson}
\pdfinfo{
  /Title (application-processing-sheet.pdf)
  /Creator (Cheatography)
  /Author (laceyrobertson)
  /Subject (Application Processing Sheet Cheat Sheet)
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Application Processing Sheet Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{laceyrobertson} via \textcolor{DarkBackground}{\uline{cheatography.com/123441/cs/23326/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}laceyrobertson \\
  \uline{cheatography.com/laceyrobertson} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 10th July, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\{\{ac\}\}{\bf{Fax Emrick:}} & \{\{ar\}\}(217) 833-2046 \tn 
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% Row 1
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 & \{\{ar\}\} Allison@emrickgroup.com \tn 
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 & \{\{ar\}\} Allison@emrickgroup.com \tn 
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% Row 0
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% Row 1
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 & \{\{ar\}\} Allison@emrickgroup.com \tn 
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% Row 4
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 & \{\{ar\}\}AARP Healthcare Options \tn 
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% Row 5
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 & \{\{ar\}\} UHC Insurance Company  Co. \tn 
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% Row 6
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 & \{\{ar\}\}P.O. Box 105331 \tn 
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% Row 7
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 & \{\{ar\}\}Atlanta, GA 30348-9534 \tn 
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% Row 8
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 & \{\{ar\}\}{\bf{Overnight Mail:}} \tn 
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% Row 9
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 & \{\{ar\}\} UHC Enrollment Division \tn 
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% Row 10
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 & \{\{ar\}\}4868 HA Hwy 86 \tn 
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% Row 11
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 & \{\{ar\}\}Foreste Park, GA 30297 \tn 
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% Row 12
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\{\{ac\}\}{\bf{Disenrollment:}} & \{\{ar\}\}{\bf{Client MUST call into Customer Service:}} (800) 523-5800 \tn 
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% Row 13
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 & \{\{ar\}\} {\bf{Cell:}} (314) 677-4499 \tn 
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 & \{\{ar\}\}Sales \& Marketing Tools\textgreater{}Sales Material\textgreater{}Sales Materials Portal \tn 
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 & \{\{ar\}\} Senior Supplement Insurance \tn 
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% Row 3
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 & \{\{ar\}\}PO Box 14399 \tn 
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Dental}}  \tn
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 & \{\{ar\}\}Lexington, KY 40512-9700 \tn 
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% Row 8
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Ancillary Products}}  \tn
% Row 0
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 & \{\{ar\}\}Senior Supplement Insurance \tn 
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% Row 3
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 & \{\{ar\}\}PO Box 14399 \tn 
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% Row 4
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 & \{\{ar\}\}Lexington, KY 40512-9700 \tn 
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% Row 5
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% Row 6
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% Row 7
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% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Allwell/Centene}}  \tn
% Row 0
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% Row Count 0 (+ 0)
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\begin{tabularx}{8.4cm}{x{3.84 cm} x{4.16 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Advantage (MAPD)}}  \tn
% Row 0
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% Row Count 1 (+ 1)
% Row 1
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 & \{\{ar\}\}Must use Allwell/Centene fax cover sheet \tn 
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% Row 2
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\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Medicare Enrollment Department}} \tn 
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% Row 3
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 & \{\{ar\}\} P.O. Box 2020 \tn 
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% Row 4
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 & \{\{ar\}\}Farmington, MO 63640 \tn 
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% Row 5
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\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(844) 202-6811 \tn 
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% Row 6
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\{\{ac\}\}{\bf{Electronic Application:}} & \{\{ar\}\}Ascend Online/App Request Access: Broker Support \tn 
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% Row 7
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 & \{\{ar\}\}medicarebrokerservices@centene.com \tn 
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% Row 8
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\{\{ac\}\}{\bf{Sandy Volk McColl}} & \{\{ar\}\} {\bf{Phone:}} (314) 243-0478 \tn 
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% Row 9
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\{\{ac\}\}{\bf{ Medicare Account Executive}} & \{\{ar\}\} {\bf{Email:}} \seqsplit{sandra.volk@centene.com} \tn 
% Row Count 21 (+ 3)
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Anthem}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Advantage (MAPD)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(844) 236-7967 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail}} & \{\{ar\}\}P.O. Box 659816 \tn 
% Row Count 4 (+ 2)
% Row 2
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 & \{\{ar\}\}San Antonio, TX 78265-9116 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{ PAGE 7 of Application AGENCY NUMBER: MB2296}}} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.64 cm} x{5.36 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Prescription Drug Plan (PDP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(800) 833-8554 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\} {\bf{Mail:}} & \{\{ar\}\}P.O. Box 659403 \tn 
% Row Count 4 (+ 2)
% Row 2
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 & \{\{ar\}\}San Antonio, TX 78265-9714 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{PAGE 7 of Application AGENCY NUMBER: MB2296}}} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.56 cm} x{5.44 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}{\bf{Fax:}} & \{\{ar\}\}(844) 236-7967 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}P.O. Box 659816 \tn 
% Row Count 4 (+ 2)
% Row 2
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 & \{\{ar\}\}San Antonio, TX 78265-9116 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{PAGE 7 of Application AGENCY NUMBER: MB2296}}} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Contact Information}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(877) 304-6470 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(800) 633-4368 \tn 
% Row Count 4 (+ 2)
% Row 2
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\{\{ac\}\}{\bf{Application Status:}} & \{\{ar\}\}(855) 277-6071 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\{\{ac\}\}{\bf{Regional Sales Manager: Thomas Edgeton}} & \{\{ar\}\}{\bf{Cell:}} (314) 502-7917 \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
 & \{\{ar\}\}{\bf{Email:}} \seqsplit{thomas.edgeton@anthem.com} \tn 
% Row Count 12 (+ 3)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Regional Sales Manager: Gina Wallis}} & \{\{ar\}\}{\bf{Cell:}} (314) 399-5012 \tn 
% Row Count 15 (+ 3)
% Row 6
\SetRowColor{LightBackground}
 & \{\{ar\}\} {\bf{Email:}} \seqsplit{Gina.Wallis@anthem.com} \tn 
% Row Count 17 (+ 2)
% Row 7
\SetRowColor{white}
\{\{ac\}\}{\bf{Regional Sales Manager: Kimberley Madsen}} & \{\{ar\}\} {\bf{Cell}} (417) 987-3758 \tn 
% Row Count 20 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.84 cm} x{4.16 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Quick Links}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Supplies:}} & \{\{ar\}\} www.anthem.com \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.72 cm} x{5.28 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Electronic Applications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\} {\bf{mproducer:}} & \{\{ar\}\}mproducer.anthem.com/mproducer/public/login \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.2 cm} x{4.8 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Anthem Extras}}  \tn
% Row 0
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\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\} (877) 238-1107 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Anthem Blue Cross and Blue Shield}} \tn 
% Row Count 3 (+ 2)
% Row 2
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 & \{\{ar\}\} P.O. Box 5028 \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Denver, CO 80217-5028 \tn 
% Row Count 6 (+ 2)
% Row 4
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\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(877) 391-3897 \tn 
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% Row 5
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\{\{ac\}\}{\bf{Order Supplies:}} & \{\{ar\}\}www.anthem.com \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Add}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Add}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Add (copy)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Essence}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.52 cm} x{4.48 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Advantage (MAPD)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{Phone in or Use Quick Entry ALL Applications, then mail:}}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Tele-Enrollment Line:}} & \{\{ar\}\} (877) 259-8657 \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Mail}} & \{\{ar\}\} PO BOX 12487 \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}St. Louis, MO 63141 \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Quick Entry:}} & \{\{ar\}\}producer.essencehealthcare.com \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\} {\bf{After Call-In Mail:}} & \{\{ar\}\}1. Application\{\{nl\}\} 2. Checklist \{\{nl\}\} 3. Scope of Appointment \tn 
% Row Count 13 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4.16 cm} x{3.84 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Contact Information}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Producer Support:}} & \{\{ar\}\}(877) 259-8657 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Outside Sales Manager: Jenifer Dickson}} & \{\{ar\}\}{\bf{Cell}} (314) 598-5585 \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}{\bf{Office}} (314) 770-3402 \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}{\bf{Email:}} \seqsplit{jdickson@lumeris.com} \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.6 cm} x{4.4 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Quick Links}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Provider Search:}} & \{\{ar\}\}www.essencehealthcare.com/find-a-doctor/ \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Dental Provider Search:}} & \{\{ar\}\}govservices.dentaquest.com \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Electronic Applications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Login:}} & \{\{ar\}\} \seqsplit{producer.essencehealthcare.com} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
 & \{\{ar\}\} Click on Start New Application \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Add}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Humana}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Advantage (MAPD)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(877) 889-9936 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail}} & \{\{ar\}\}{\bf{Humana Medicare Enrollment}} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}P.O. Box 14309 \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Lexington, KY 40512-4309 \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Vantage-Upload Paper Application:}} & \{\{ar\}\} 1. Scan and Save App and SOA on your Desktop. \{\{nl\}\} 2. Login to Vantage and Select "Upload Paper Applications."\{\{nl\}\} 3. Enter Client Name and Application Id (Found at the bottom of app). \{\{nl\}\} 4. Upload the paper application digital file and submit. \{\{nl\}\}  5. An email will be sent to you Humana secure mailbox for confirmation. \tn 
% Row Count 23 (+ 17)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Prescription Drug Plan (PDP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(877) 889-9936 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail}} & \{\{ar\}\}{\bf{Humana Medicare Enrollment}} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}P.O. Box 14309 \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Lexington, KY 40512-4309 \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Vantage-Upload Paper Application:}} & \{\{ar\}\} 1. Scan and Save App and SOA on your Desktop. \{\{nl\}\} 2. Login to Vantage and Select "Upload Paper Applications."\{\{nl\}\} 3. Enter Client Name and Application Id (Found at the bottom of app). \{\{nl\}\} 4. Upload the paper application digital file and submit. \{\{nl\}\}  5. An email will be sent to you Humana secure mailbox for confirmation \tn 
% Row Count 23 (+ 17)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(877) 889-9936 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail}} & \{\{ar\}\}{\bf{Humana Medicare Enrollment}} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}P.O. Box 14309 \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Lexington, KY 40512-4309 \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Vantage-Upload Paper Application:}} & \{\{ar\}\} 1. Scan and Save App and SOA on your Desktop. \{\{nl\}\} 2. Login to Vantage and Select "Upload Paper Applications."\{\{nl\}\} 3. Enter Client Name and Application Id (Found at the bottom of app). \{\{nl\}\} 4. Upload the paper application digital file and submit. \{\{nl\}\}  5. An email will be sent to you Humana secure mailbox for confirmation \tn 
% Row Count 23 (+ 17)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4.32 cm} x{3.68 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Contact Information}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Agent Support:}} & \{\{ar\}\}(800) 309-3163 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Customer Support:}} & \{\{ar\}\}(855) 691-9987 \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{ John Kelly Sr. Market Manager:}} & \{\{ar\}\}{\bf{Cell:}} (217) 720-3000 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}{\bf{ Office:}} (314) 296-7529 \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & \{\{ar\}\}{\bf{Email}} \seqsplit{jkelly2@humana.com} \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.36 cm} x{4.64 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Electronic Applications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Enrollment Hub:}} & \{\{ar\}\}www.enrollmenthub.humana.com \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Fast App:}} & \{\{ar\}\}{\bf{Login:}} www.humana.com \tn 
% Row Count 4 (+ 2)
% Row 2
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 & \{\{ar\}\}Click on Fast App \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Add}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Lasso}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4.16 cm} x{3.84 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare MSA}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax Emrick:}} & \{\{ar\}\}(217) 833-2046 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Lasso Healthcare MSA}} \tn 
% Row Count 4 (+ 2)
% Row 2
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 & \{\{ar\}\} Attention: Enrollment \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}P.O. Box 60690 \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & \{\{ar\}\}Harrisburg, PA 17106-0690 \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(877) 293-2792 \tn 
% Row Count 12 (+ 2)
% Row 6
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\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(866) 766-2583 \tn 
% Row Count 14 (+ 2)
% Row 7
\SetRowColor{white}
\{\{ac\}\}{\bf{Electronic Application:}} & \{\{ar\}\} \seqsplit{www.lassohealthcare.com/} \tn 
% Row Count 16 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Lumico}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax Emrick:}} & \{\{ar\}\}(217) 833-2046 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Lumico Life Insurance}} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}P.O. Box 10874 \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Clearwater, FL 33757-8874 \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Services:}} & \{\{ar\}\}(855) 774-4491 \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Electronic \{\{nl\}\} Application:}} & \{\{ac\}\}www.service.iasadmin.com/gateway/login.aspx?pp=pFDD\&pn=YZ\&y1tv0=n \tn 
% Row Count 13 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Mutual of Omaha}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.92 cm} x{4.08 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax Emrick:}} & \{\{ar\}\}(217) 833-2046 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{United of Omaha Life Ins. Co.}} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}PO Box 3608 \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\} Omaha, NE 68103-3608 \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Disenrollment Fax letter to:}} & \{\{ar\}\}(402) 997-1906 \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(800) 995-9324 \tn 
% Row Count 11 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Electronic Application:}} & \{\{ar\}\}http://accounts.mutualofomaha.com \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4.48 cm} x{3.52 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Prescription Drug Plan (PDP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax Emrick:}} (217) 833-2046 & \{\{ar\}\}(217) 833-2046 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Mutual of Omaha Rx}} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}P.O. Box 3625 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Scranton, PA 18505 \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & \{\{ar\}\}(877) 775-1360 \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{ON THE APPLICATION PAGE 13 Under Broker Information you must Fill in the Carrier \# Mutual Plus Carrier \# 8485 Mutual Value Carrier \# 8481}}} \tn 
% Row Count 13 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{SilverScript}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Prescription Drug Plan (PDP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{REQUIRED: ALL PAPER Applications must be   ENTERED online at:}} & \{\{ar\}\}www.silverscriptagentportal.com \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Original Application must be either Faxed to:}} & \{\{ar\}\}(866) 552-6205 \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{OR Emailed Encrypted}} & \{\{ar\}\}enrollmentverification@caremark.com \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail: AFTER entering online:}} & \{\{ar\}\}{\bf{ATTN: Agent Processing}} \tn 
% Row Count 12 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & \{\{ar\}\} PO Box 30002 \tn 
% Row Count 13 (+ 1)
% Row 5
\SetRowColor{white}
 & \{\{ar\}\}Pittsburgh, PA 15222-0330 \tn 
% Row Count 15 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(888) 277-4174 \tn 
% Row Count 17 (+ 2)
% Row 7
\SetRowColor{white}
\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(866) 235-5660 \tn 
% Row Count 19 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Supplies:}} & \{\{ar\}\}www.silverscriptagentportal.com \tn 
% Row Count 21 (+ 2)
% Row 9
\SetRowColor{white}
\{\{ac\}\}{\bf{Electronic Applications:}} & \{\{ar\}\}www.silverscriptagentportal.com \tn 
% Row Count 23 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Renaissance}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.68 cm} x{4.32 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax Emrick:}} & \{\{ar\}\} (217) 833-2046 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\}{\bf{Renaissance Life \& Health Ins.}}\{\{nl\}\}Health Administrative Office \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}PO BOX 27248 \tn 
% Row Count 7 (+ 1)
% Row 3
\SetRowColor{white}
 & \{\{ar\}\}Salt Lake City, UT 84127-0248 \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(309) 323-8400 \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Underwriting:}} & \{\{ar\}\}(800) 322-0160 ext 2823 or 2642 \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(844) 202-4150 option 1 \tn 
% Row Count 15 (+ 2)
% Row 7
\SetRowColor{white}
\{\{ac\}\}{\bf{Supplies:}} & \{\{ar\}\}https://ren.admin-portal.org. \tn 
% Row Count 17 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Electronic Applications:}} & \{\{ar\}\}https://ren.admin-portal.org. \tn 
% Row Count 19 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{TransAmerica}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.6 cm} x{4.4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Medicare Supplement (MSUP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(866) 834-0437 (use Fax Cover Sheet provided) \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\{\{ac\}\}{\bf{Mail:}} & \{\{ar\}\} 4333 Edgewood Road NE \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & \{\{ar\}\}Cedar Rapids, IA 52499 \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
\{\{ac\}\}{\bf{Electronic Application:}} & \{\{ar\}\}https://www.taagentnetinfo.com/ \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{WellCare}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Prescription Drug Plan (PDP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Fax:}} & \{\{ar\}\}(866) 388-1521 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{ac\}\} {\bf{Paper Application Submitted via Fax:}} & \{\{ar\}\}1. Fax App. with barcode linked with Agent ID\{\{nl\}\} 2. Barcode must be submitted as the FINAL page\{\{nl\}\}3. Barcode will be scanned/connected to Agent \tn 
% Row Count 9 (+ 8)
% Row 2
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{AVL}} & \{\{ar\}\}(877) 297-3628 \tn 
% Row Count 10 (+ 1)
% Row 3
\SetRowColor{white}
\{\{ac\}\}{\bf{Broker Support:}} & \{\{ar\}\}(866) 822-1339 \tn 
% Row Count 12 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Broker Support RFI:}} & \{\{ar\}\}(877) 677-5609 \tn 
% Row Count 14 (+ 2)
% Row 5
\SetRowColor{white}
\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(888) 550-5252 (Wellness Rx, Classic Rx Saver \tn 
% Row Count 17 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Customer Service:}} & \{\{ar\}\}(833) 207-4241(Rx Select, Value Plus and Value Script) \tn 
% Row Count 20 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{Supplies:}}} \tn 
% Row Count 21 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\{\{ac\}\}{\bf{Electronic Application:}} & \{\{ar\}\}www.wellcarerep.com/agentID \tn 
% Row Count 23 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}