Be sure to fax AGA a copy of every application you submitted direct along with the fax confirmation page to ensure you receive your commission!

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1 Cut Off Instructions AGA will be open normal hours on (3/31), the last business day of the month. If we have no more applications to process, we will be leaving at 5:00pm. If you have applications to submit after 5:00pm and you have not confirmed with your Regional Sales Manager that staff will be at AGA to process your application, please follow the carrier specific instructions below. Be sure to fax AGA a copy of every application you submitted direct along with the fax confirmation page to ensure you receive your commission! NOTE: For AGA COPIES only, on the FAX Cover Page please write: Direct to Carrier/AGA s Copy to prevent duplicate submissions to the carriers and possibly holding the app from being processed Carrier instructions in red with this icon be at AGA on the next business day. indicate that all original apps will need to Aetna Fax (888) Agency ID Before Aetna Med-Supp Fax (877) Agency ID GNW Before (Only apps with AgeWell Fax (855) Agency ID Before Alignment Fax (562) Before No originals required.

2 Amerigroup MAPD/PDP Fax (877) (CA, CO, NV, GA) Before midnight No originals needed. Amerigroup MAPD/PDP Fax (800) (KY, IN, OH, MO, WA, WI, VA, NY, CT, ME, NH, NM) Before midnight No originals needed. Aspire Health Plan Fax (503) Before Blue Cross MAPD & PDP Fax (877) Agency ID KKHMHRJVPY Before Blue Cross Extras Package Fax (877) Agency ID KKHMHRJVPY Before Blue Cross OSB Fax (877) Agency ID KKHMHRJVPY (within 90 days of MA Plan Eff. Date). Blue Cross Med-Supp Fax (805) Agency ID KKHMHRJVPY Before Only apps with BCBS of Arizona MAPD, PDP & Med Supp Fax (520) Agency ID KKHMHRJVPY Before BCBS of New Mexico MAPD Fax (855) Agency ID Before BCBS of New Mexico PDP Fax (855) (IL, NM, OK, TX) Agency ID Before BCBS of New Mexico PDP Fax (855) (MT) Agency ID Before BCBS of New Mexico MED-SUPP Fax (888) (IL, NM, OK, TX) Agency ID Before

3 BCBS of New Mexico MED-SUPP Fax (855) (MT) Agency ID Before Blue Shield MAPD & PDP Fax (877) Agency ID E Before Blue Shield Med-Supp Fax (844) Agency ID Before (Only apps with Brand New Day MAPD Fax (657) Before midnight No originals required. Care 1st Fax (323) Before No originals required. CareMore Fax (888) Before No originals required. Care Plus MAPD Fax (855) Before No originals required. Central Health Fax (626) Before No originals required. CIGNA (PDP) Fax (800) Write AGA under Producer Agency Before NOTE: If submitting Cigna apps for AZ make sure that you are in the service area! CIGNA (MAPD) Fax (855) Write AGA under Producer Agency Before CIGNA MED-SUPP Fax (877) Before (Only apps with Coventry Fax (888) Agency ID Before Clover Health (NJ) Fax (732) Agency ID Before Easy Choice Fax (877) Before No originals required. First Health PDP Fax (866) Agency ID Before

4 Gerber Med-Supp Fax (402) Before (Only apps with Golden State Fax (562) Before No originals required. Humana MAPD/PDP/Med-Supp Fax to Before Inter Valley MAPD Fax (909) Before No originals required. Manhattan Life Group Med-Supp Fax (713) Before (Only apps with Molina Fax (844) Before Mutual of Omaha Med-Supp Fax (866) Before (Only apps with SCAN Fax (866) Before No originals required. Scott & White Fax (254) Before No originals required. Sentinel Med-Supp Fax to (888) Before midnight (only apps with SilverScript Submit online via SilverScript agent portal, upload, Fax (866) or Mail originals Before Soundpath Health (QualChoice) Submit via Cavulus Online Portal, (253) United American Med-Supp Fax to (972) Before midnight (only apps with UHC/AARP MAPD Fax to (866) Before

5 UHC/Senior Dimensions & Sierra Spectrum Fax to (702) Before UHC/AARP PDP Fax to (866) Before UHC/AARP Med-Supp Fax to (888) Before midnight (only apps with UHC Care Improvement Plus MAPD Fax to (866) Before UHC Dual MAPD (HMO SNP) AZ Fax to (855) Before midnight UHC MA SeniorCare Options (HMO) Fax to (855) Before midnight UHC (HMO DSNP) 001 NY-TN-WI (855) Before Wellcare PDP Fax (866) Before No originals required. Wellcare MAPD (outside of California) Fax (866) Before No originals required.

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