FMO = JSA
Agent #EC00090277
Do Not Use for Guaranteed Issue
Birthday Rule Pays as New Business
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BASIC INFO |
OPEN |
OPEN |
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SUBMIT BUSINESS If not EFT, we must submit a physical check for 1 month premium. Direct billing is not monthly... it is quarterly, semi-annual or annual. Mail check and application to: Combined Ins Co of America PO Box 14207 * Clearwater FL 33766 If overnight: 2650 McCormick Dr #200T, Clearwater 33759 NOTE: If not CA app, then you must submit full modal premium with app if not EFT |
SUPPLIES Requisition Form Supplies combinedsupplies@aiasvcs.com |
eApp |
Agent Hotline 855.278.9329
PolicyHolder 855 278 9329
Lowest rate for Plan F
6% household discount
Great if over 70 and household discount
28 years in market * AM Best A+ Rating
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Need: State of birth, Height, Weight, Meds (Name, Date Originally Prescribed,
Frequency & Dosage, Diagnosis)
Complete everything on my end
I can sign during signature stage (you don't have to wait for client to sign)
Send to client - app will lock - if mistakes, unlock and resend
Client signs on their end
If husb/wife, make application A the payor
Send 1st email to Applicant A/payor
After Applicant A signs and submits, send 2nd email to Applicant B
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