The Medicare Annual Election Period runs Oct 15 - Dec 7

How to submit your apps:


Please send your applications to the fax number above and include this COVER SHEET.
Our fax line is internet based, so you'll never get a busy signal. 


Our email address for submitting applications is Please send your secure emails to this email address.  We will send you a confirmation email within 24 hours.  

Fax Direct to Carriers

If you are sending direct to the carrier, please use the fax number on the application.  This number can usually be found towards the end of the app.  If it does not have one, use the numbers below.

Aetna MA/MAPD/PDP   (866) 441-2341 & (888) 665-6296
Coventry MA   (888) 554-7668
Coventry PDP   (866) 415-2232
First Health PDP    (866) 415-2232
Envision PDP    (844) 645-0583 & (844) 293-4756
Humana MA/MAPD/PDP   (877) 889-9936
Molina Healthcare   (844) 541-6848
Silverscript   (866) 552-6205 (must upload to Silverscript website first using your agent #)
United Healthcare MA/MAPD/PDP   (866) 994-9659

Hours for Submitting Applications During AEP:
Monday - Thursday: 8 am - 5 pm CST
Friday:  8 am - 3 pm CST
Saturday & Sunday: 8 am - 12 pm CST

Contact info

Tel  800-852-7152 

Fax  888-507-1861

318 W Huron St

Missouri Valley, IA  51555

Business hours

Monday         8:00 - 5:00

Tuesday         7:30 - 5:00

Wednesday   7:30 - 5:00

Thursday       7:30 - 5:00

Friday             7:30 - 3:00

* all times are Central

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The information on this site is for licensed insurance agents and brokers only. If you are not an insurance professional, please do not rely on this information. Instead, refer questions to a licensed insurance professional. This material has been prepared for informational purposes only and should not be relied upon for accounting, legal, tax or investment advice. Some programs are not available in all states.

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