November 29, 2011 @ 4:50 AM

As of 11/2011 we are now able to fax in completed Medicare Supplement applications/forms under the following conditions:

1) Payment mode must be check-o-matic.  (Direct-Bill modes must still be mailed in with checks).

2) If you are looking for an immediate (within a week of faxing in the application) effective date then we need a note from applicant authorizing the company to draft 2 months up-front.

3) If the account is a business account then:  A) The applicant must be an owner of the business B) Submit The Company Bank Draft Validation Form also.

  • Call me with any questions first: 1-800-443-5149
  • Fax completed applications/forms to: 1-845-425-9312 (follow up to make sure I received it).