Effective August 1st, 2023, the release process is closed. New release requests can be submitted on January 1st, 2024.
IMPORTANT NOTE: Requests for release with carriers in partnership with Senior Market Advisors must have Reciprocal Release Form attached in order to process. Requests made without the appropriate form cannot be processed.
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
It looks like you have selected Aetna as a carrier you need a release for. Aetna requires their own release form. Please download and complete #1 and #2 of the "Transfer Release Option" section on the following form and upload it with your Reciprocal release: Aetna Release Form