Tec Sales Submission
  • *Agent Name
  • *Please select the Carrier you sold.
  • SilverScript Plans
  • EnvisionRx Plans
  • Aetna Plans
  • Regence Plans
  • Asuris Plans
  • Humana Plans
  • Kaiser Permanente Plans
  • Premera Plans
  • United Healthcare Plans
  • *What is the effective date of the plan?
  • *Which TEC Location does this client go to?
  • *Where did you get this client from?
  • *What election period did this client have?
  • What SEP does this client have?

That's all, folks!

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