Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Supplies
Medicare Supplement Application with Dental Option
            Medicare Supplement Application with Dental Option  (292 kb)
            Stand-alone Dental Application  (483 kb)
      Please submit with all Medicare Supplement Applications
            Medicare Card Form  (32 kb)
            2017-2018 Medicare Supplement Outline of Coverage with Rates   (1570 kb)
            2016-2017 Medicare Supplement Outline of Coverage with Rates  (496 kb)
            2016 Medicare & You   (6053 kb)
            Dental Essentials Brochure  (1194 kb)
            2016 Choosing a Medigap Policy  (1202 kb)
            Tobacco Cessation Form  (139 kb)
            Medicare Supplement Replacement Form  (42 kb)
      This form is used for Medicare Supplement or Over 65 Dental plans ONLY.
            Bank Account or Address Change Form  (46 kb)
            3117 Form  (25 kb)
            Effective Date Form  (32 kb)
            Cancellation Form  (50 kb)
            PHI Release Form  (145 kb)
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