Application Fax Numbers, Cover Sheets & Online Enrollment Instructions (as applicable)
Aetna/American Continental/Continental Life
Central States Indemnity Company of Omaha (CSI)
Cigna
Equitable
Family Life
Gerber
- Fax to 1-866-422-9139
Manhattan Life
Medico
Mutual of Omaha/United of Omaha/Omaha Insurance Co/United World
Stonebridge
United American
- Fax to 1-972-569-3678
United Healthcare
- Fax to 1-888-836-3985