Reinventing Health Care Choices.
Below is the Aetna / Coventry form you will need to complete in order to get started. Once the form has been processed by me, you will receive an email with a link to complete your online contracting. Please keep in mind completing this form is not the actual contract.
If you are appointed with Aetna/Coventry and would like to move your contract under NALP, you must have your current FMO (and you) complete the attached transfer form and return to me along with the data form. If you haven’t written any business in the last 6 months, you are eligible to transfer but you still must complete the data form and the online contracting link.
Please return the completed form to Crystal Bruce at North American Life Plans, LLC for processing via fax (469-362-1314) or email (email@example.com).