UA Medicare Part D - Agent Site

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Agent Resources

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UA Part D Main Site

Agent Solicitation Package

To request UA Medicare Part D Agent Solicitation Packages through Agent Supply, please provide the following information:

*Required Field
*Agent Type:
General Agent Branch Agent
*Branch Office:

*Branch Manager:

*Agent Number:
*# of Agents in Agency:
*FIRST Name:
*LAST Name:
*Address:
*City:
*State:
*ZIP:
*Phone Number:	() -
Fax Number:	() -
E-mail Address:
*Quantity:
Comments:

This website is intended to provide you with information about Medicare prescription drug coverage so you can make an informed decision about how Medicare Part D can help you manage your prescription drug costs. United American Insurance Company is a Medicare-approved Part D Sponsor.