A. Click on “Medicare Advantage Producer Supply Order Form”
B. Enter your producer information in all fields in Section A: Requestor
C. Enter the quantities of each item you wish to order in Section B: Medicare Advantage.
*If you order printed directories or formularies, always remember to double check the online tools for the most current information
D. You are also able to order Medicare Supplements through this form in Section C: Medicare Supplement. Use the Enrollment Kit box to enter quantity of full kits you wish to order. There are also three boxes below to order extra specific components: Sales Brochure, Outline of Coverage, and the Enrollment Application.
E. Enter any notes if applicable
F. Click [Submit]
To receive materials you must be Licensed, Appointed, and Certified for the product you are representing.
PDFs will also be available online at www.premera.com/ma/producers.
For current PDFs of Medicare Supplement plans, click “Medicare Supplement Plans” in the grey navigation box on the left side of the screen at the above link, or click here