Product Availbility Map Quick Sheet

by ahlpatseries | Mar 25, 2022 | 0 comments

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Materials at a Glance

Video Center

Common Documents

Frequently Asked Questions

Advertisement Review Request Form

Advertisement Guidelines Checklist

Medicare Supplement

Producer Guide

Disease Underwriting Guide

Rate Comparison

Patriot Series Final Expense

Producer Guide

Disease Underwriting Guide

Product Spec Sheet

Rates Quick Sheet

Conditional Receipt

Child Rider Application

Specific State Materials

Alabama

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Arkansas

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Super Preferred Application Conditional Receipt

Tiered Application

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Comparison Chart

Arizona

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Colorado

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Florida

Medicare Supplement

HIPAA Authorization

Replacement Form

Application Child Rider

Patriot Series FE

Super Preferred Application

Tiered Application

Tiered Child Rider Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Georgia

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Idaho*

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Illinois

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Iowa

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Indiana

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Kansas

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Super Preferred Temporary Insurance Receipt

Louisiana

Medicare Supplement

HIPAA Authorization

Replacement Form

Genetic Information

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Maryland

Medicare Supplement

HIPAA Authorization

Replacement Form

Genetic Information

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Michigan

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Minnesota*

Patriot Series FE

Super Preferred Application

Tiered Application

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Mississippi

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Missouri

Medicare Supplement

HIPAA Authorization

Replacement Form

Reinstatement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Montana

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Super Preferred Disclosure Statement (Time of Application)

Tiered Disclosure Statement (Time of Application)

Super Preferred Producer Statement

Tiered Producer Statement

Replacement Form

Nebraska

Medicare Supplement

HIPAA Authorization

Replacement Form

Senior Health Consulting Notice

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Nevada

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

New Mexico

Medicare Supplement

HIPAA Authorization

Replacement Form

Confidential Abuse Information

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

North Carolina

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

North Dakota

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Ohio

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Oklahoma

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Pennsylvania

Medicare Supplement

HIPAA Authorization

Replacement Form

Disclosure Statement

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

South Carolina

Medicare Supplement

HIPAA Authorization

Replacement Form

Duplication of Insurance

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

South Dakota

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Tennessee

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Texas

Medicare Supplement

HIPAA Authorization

Replacement Form

Toll Free Compliant Notice

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Utah

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Virginia

Medicare Supplement

HIPAA Authorization

Replacement Form

Reinstatement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Wisconsin

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

West Virginia

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

Wyoming

Medicare Supplement

HIPAA Authorization

Replacement Form

Patriot Series FE

Super Preferred Application

Tiered Application

Super Preferred Brochure

Tiered Brochure

Disclosure Statement (Time of Application)

Producer Statement

Replacement Form

*Patriot Series Final Expense Only