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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Transcription:

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) 665-6296 Agency ID 330961867 Before Aetna Med-Supp Fax (877) 380-2777 Agency ID GNW8005713 Before (Only apps with AgeWell Fax (855) 895-0784 Agency ID 330961867 Before Alignment Fax (562) 207-4623 Before No originals required.

Amerigroup MAPD/PDP Fax (877) 391-3877 (CA, CO, NV, GA) Before midnight No originals needed. Amerigroup MAPD/PDP Fax (800) 833-8554 (KY, IN, OH, MO, WA, WI, VA, NY, CT, ME, NH, NM) Before midnight No originals needed. Aspire Health Plan Fax (503) 584-4234 Before Blue Cross MAPD & PDP Fax (877) 391-3877 Agency ID KKHMHRJVPY Before Blue Cross Extras Package Fax (877) 238-1107 Agency ID KKHMHRJVPY Before Blue Cross OSB Fax (877) 587-6466 Agency ID KKHMHRJVPY (within 90 days of MA Plan Eff. Date). Blue Cross Med-Supp Fax (805) 375-0361 Agency ID KKHMHRJVPY Before Only apps with BCBS of Arizona MAPD, PDP & Med Supp Fax (520) 441-9596 Agency ID KKHMHRJVPY Before BCBS of New Mexico MAPD Fax (855) 895-4747 Agency ID 04802800 Before BCBS of New Mexico PDP Fax (855) 297-4245 (IL, NM, OK, TX) Agency ID 04802800 Before BCBS of New Mexico PDP Fax (855) 874-4702 (MT) Agency ID 04802800 Before BCBS of New Mexico MED-SUPP Fax (888) 235-2949 (IL, NM, OK, TX) Agency ID 04802800 Before

BCBS of New Mexico MED-SUPP Fax (855) 426-5344 (MT) Agency ID 04802800 Before Blue Shield MAPD & PDP Fax (877) 251-3660 Agency ID 330961867E Before Blue Shield Med-Supp Fax (844) 266-1850 Agency ID 200506281 Before (Only apps with Brand New Day MAPD Fax (657) 400-1207 Before midnight No originals required. Care 1st Fax (323) 889-5402 Before No originals required. CareMore Fax (888) 649-5918 Before No originals required. Care Plus MAPD Fax (855) 819-8679 Before No originals required. Central Health Fax (626) 388-2371 Before No originals required. CIGNA (PDP) Fax (800) 735-1469 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) 531-9754 Write AGA under Producer Agency Before CIGNA MED-SUPP Fax (877) 704-8186 Before (Only apps with Coventry Fax (888) 554-7668 Agency ID 330961867 Before Clover Health (NJ) Fax (732) 412-4343 Agency ID 330961867 Before Easy Choice Fax (877) 999-3945 Before No originals required. First Health PDP Fax (866) 415-2232 Agency ID 330961867 Before

Gerber Med-Supp Fax (402) 997-1910 Before (Only apps with Golden State Fax (562) 799-0507 Before No originals required. Humana MAPD/PDP/Med-Supp Fax to 877-889-9936 Before Inter Valley MAPD Fax (909) 397-0139 Before No originals required. Manhattan Life Group Med-Supp Fax (713) 583-2738 Before (Only apps with Molina Fax (844) 541-6848 Before Mutual of Omaha Med-Supp Fax (866) 378-0109 Before (Only apps with SCAN Fax (866) 951-6318 Before No originals required. Scott & White Fax (254) 298-3567 Before No originals required. Sentinel Med-Supp Fax to (888) 433-4795 Before midnight (only apps with SilverScript Submit online via SilverScript agent portal, upload, Fax (866) 552-6205 or Mail originals Before Soundpath Health (QualChoice) Submit via Cavulus Online Portal, (253) 779-8829 United American Med-Supp Fax to (972) 569-3678 Before midnight (only apps with UHC/AARP MAPD Fax to (866) 994-9659 Before

UHC/Senior Dimensions & Sierra Spectrum Fax to (702) 304-7460 Before UHC/AARP PDP Fax to (866) 994-9659 Before UHC/AARP Med-Supp Fax to (888) 836-3985 Before midnight (only apps with UHC Care Improvement Plus MAPD Fax to (866) 994-9659 Before UHC Dual MAPD (HMO SNP) 002-004 AZ Fax to (855) 210-5123 Before midnight UHC MA SeniorCare Options (HMO) Fax to (855) 250-2168 Before midnight UHC (HMO DSNP) 001 NY-TN-WI (855) 210-5123 Before Wellcare PDP Fax (866) 388-1521 Before No originals required. Wellcare MAPD (outside of California) Fax (866) 473-9124 Before No originals required.