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To apply for coverage . . .
- You may request application forms by contacting us at:
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Phone:
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503.291.1655 or 800.315.5828
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Fax:
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503.291.1657
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E-mail:
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info@imedoregon.com
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Mailing Address:
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MultiPlan Financial Services, Inc
9999 SW Wilshire, Suite 130
Portland OR 97225
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- Medicare Supplements - please call us at (503) 291-1655
or (800) 315-5828 to obtain the correct application form.
- Other application forms may be downloaded and printed by clicking on the links below.
| You must have Adobe Acrobat Reader to do this.
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| After you fill out the application completely and sign it,
you should mail it to the above address.
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Once you have applied. . .
Coverage
is
not in force until the company you choose receives
and reviews your complete and accurate application (and
premium if required with the application) and agrees to
issue coverage. They may accept or decline based on the
information on your application.
Initial premium must be paid before any coverage is
in force (for most companies, premium is not paid with
the application, but after approval).
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