2025 Medicare Contract Request
If you are currently contracted with any carrier from the list below, be sure to have a copy of your immediate release ready to upload in your contracting link. If you cannot get the immediate release, please let us know, and we will go over the intent to move for each carrier.  Please email mapd@teamifg.com and list "Name, NPN, and Release Assistance" in your email for the carrier release/notice of intent guide.

You will be sent a welcome email with instructions for each carrier.  

Certifications are required before contracts will be processed, and you are issued a writing number.  

Appointment Requests will be delayed if all of the above information is not completed.
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Email *
Requesting Agency ID (None assigned, add "0") *
Requesting Agency *
Upline agency that you want contracts underneath
Submitter Full Name *
Submitter Email *
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