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Seniors Choice

United Insurance Group Agency, Inc. provides the following licensing forms on line.  Please contact UIG for commission schedules.

The downloadable forms available on this page contain everything you need to get started.

If necessary, download the free Acrobat Reader (required to view and print the online forms)

  1. Click on the contracting forms below that you want in Adobe PDF format
  2. Print and completely fill out the printed forms
  3. Fax completed forms to (248) 676-0713
QUICK LINKS
 
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CAMADS PTNA
CIGNA SecureHorizons
Conseco Senior Choice
Elderplan Standard Life
Evercare Today's Options
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Forethought Life United American
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GTL United of Omaha
HealthNet United Teachers
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Senior Choice

Senior Choice Forms:

For more information, please contact your Broker Support Specialist.


Seniors Choice is designed for any size group down to one life. When using Seniors Choice for retirees it can be used for TEFRA or Non-TEFRA groups. 

If you  have a group that does not offer a retiree medical plan, consider presenting Seniors Choice Group Retiree Medical Plan to them. 

  • There is no premium contribution required by the employer
  • No minimum enrollment required
  • It can be completely voluntary (retiree paid)
  • Bill can be sent directly to the retiree
  • By signing the Employer Trust Agreement you are making available another option that your retirees will not have otherwise

For actively at work employees who are 65+ years of age and qualify for the employer group insurance plan (at companies with less than 20 employees) an employer can move them to Seniors Choice potentially resulting in significantly reduced rates for the remaining employees in the employer group plan.

Seniors Choice offers unique features that a traditional Medicare Supplement does not. Benefits can be flexible because it is filed as a group retiree medical plan. Seniors Choice is regulated by each state’s department of insurance. The Seniors Choice product is guaranteed issue at any age 65 and older.

For more information, please see:

Seniors Choice Product Overview

 

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