AEP CoOp Form

We can’t wait to hear your idea to grow your business! Fill out the fields below and we’ll be in touch soon.

EXAMPLE: X leads generated, Y attendance to event, Z lead close rate/number of apps generated.
EXAMPLE: Agent will order 125 Medicare Supplement T-65 leads from XYZ Leads over 10 weeks costing $25/lead in St. Louis County, MO. Since the leads cost $25 x 125 leads ordered = $3125 in total lead spend.
EXAMPLE: I will follow up a minimum of 7 times per lead via phone and email.
EXAMPLE: The goal is to close 20% of the leads which will result in 25 sales with products through Senior Marketing Specialists.

Please submit your marketing plan along with an up-to-date W9 with your request.

Click here for a blank W9.

Please submit an up-to-date W9 with your request.

Click here for a blank W9.

Maximum file size: 314.57MB

Maximum file size: 314.57MB


Disclaimer: agents must be certified, ready-to-sell, and have submitted marketing materials for compliance approval before participating in this program.

70% shopping rates will make this AEP a war zone. Do you have your Battle Plan ready?

Attend one of our in-person AEP Disruptions Bootcamps, or be left behind.

July 23, 2024 
Blue Springs, MO

July 25, 2024
St. Charles, MO

July 31, 2024
Columbia, MO

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