May Insurance Services, Inc.

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Medicare Supplements
  • AARP/United Healthcare
  • American Continental
  • Anthem BCBS
  • Assured Life
  • Forethought Life
  • Gerber Life
  • Marquette National
  • United of Omaha
AARP/United Healthcare

Forms:
     ENROLLMENT KIT Part 1
     ENROLLMENT KIT Part 2

Licensing:
      Appointment
      CONTRACT
        EFT Form
      W-9 Form
 
American Continental (a Genworth Financial company)

Website:
     http://www.genworth.com/content/continental_life/en/primarynav/about_us/about_aci.html

Forms:
     APPLICATION Medicare Supplement OH  2010
     APPLICATION HIPPA Form Medicare Supplement
      OUTLINE OF COVERATE & RATES Medicare Supplement Effective 6/1/11

Licensing:
     CONTRACT
     Disclosure
       EFT
     Guide to Ethical Market Conduct
     Producer Conduct Rule
     Questionnaire
     W-9
      

 
Anthem BCBS

Website:  https://www26.anthem.com/commonlogin/logon.jsp

Forms:
     APPLICATION Medicare Supplement Application 03/10

Licensing:
     Click here (go to Anthem Group forms section)
 
Assured Life

Website:
     http://www.denverwoodmen.com/medicaresupplement/default.asp

Forms:
     APPLICATION including Outline of Coverage Medicare Supplement 9/24/11
    APPLICATON Sales and Solicitation Disclosure T01613

Licensing:
     CONTRACT
     Special Agent Agreement
         

 
Forethought Life

Website:  https://www.forethought.com/

Forms:
     APPLICATION Medicare Supplement packet (outline, rates and application)  9/2011

Licensing:
     CONTRACT
          
 
Gerber Life

Forms:
    

Licensing:
    CONTRACT Fillable
       

 
MARQUETTE NATIONAL


Forms:  Marquette 2011 Application
    
Licensing:  request link from MIS
 
United of Omaha

Website:  https://www8.mutualofomaha.com/enterprise/portal/producer/

Forms:
    APPLICATION Medicare Supplement 8/17/11
     OUTLINE OF COVERAGE includes rates Medicare Supplement 2011  Eff 4/1/11
   
Licensing:
     Licensing - signature pages only
        

 
 
May Insurance Services, Inc. is a BrokerNet, Inc. affiliate.

May Insurance Services, Inc.

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