Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Quote Request
            Quote Request Form in Excel Format  (32 kb)
            Quote Request Form in PDF Format  (21 kb)
BCBS 51+ Prescreen
      Cover page needed for 51+ BCBS group quote
            BCBS 51+ Prescreen  (229 kb)
BCBS 51+ Risk Appraisal
      RISK Appraisal questionnaire for BCBS group 51+
            BCBS 51+ Risk Appraisal  (136 kb)
            BCBS 51+ Census  (574 kb)
            BCBS Large Case Requirements   (83 kb)
UHC 51+ Employer App
      Must be submitted to quote
            UHC 51+ Employer App  (160 kb)
            UHC 51+ Checklist  (36 kb)
            UHC 51+ GRX Census  (14 kb)
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