In order to provide the best possible service to our agents and their downlines, please complete this simple information form so that you are properly set up in our system prior to submitting contracting.
To request a contract or more information, check all of the product lines that apply below:
NOTE: Anthem requires your Social Security Number to initiate the contract. A Broker Liaison from GarityAdvantage will call you to obtain in order to send the contract invitation. You may also call us directly at 800-234-9488.
Contact us with any questions: 800-234-9488