Release Request
BEFORE CONTINUING, you will need to print and complete the Reciprocal Release Request (CLICK HERE To View & Print) and upload it below if you are requesting a release for our carriers in partnership with Senior Market Advisors listed below:
Carriers in Partnership with Senior Market Advisors: Aetna / Coventry, Anthem BCBS / Amerigroup, BCBS of IL, NM, OK, TN, TX (Regional), Centene / Allwell / Wellcare, Cigna Healthspring, Clover Health, Devoted, Freedom/Optimum, Gateway Health Plan, Humana, Lasso, Molina, Scan, United Health Care, Vantage Health Plan