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"Coverage for the Gaps in your Insurance Plan.
Plus, benefits for a healthy lifestyle."

 
       
 
         
 

GAP Registration Form

 

REGISTER TO SELL

Get on board to sell coverage for the GAPs in your client's Insurance Plan plus benefits for a healthy lifestyle.

To sign up, click on the Download Registration Button to the left and fill out the form. If you don't have an internet-based email (i.e. aol, yahoo, or hotmail), to send - hit submit in the upper right hand corner of the pdf and follow instructions.

If you are using an internet-based email (i.e. aol, yahoo, or hotmail), save the completed pdf. You can either fax or email the form. Open your internet email service, attach the saved pdf, and send to register@gapplusplan.com.



For the first 1000 new Sales Associates that register, we will waive the $95 Associate Fee. The number of slots left are posted in the countdown below. If the number on the countdown has not reached "0", leave the $95 section on the application blank.

950              

 
         
© HA Partners, Inc. 2010

*This is not an individual major medical health plan. This plan was designed to coordinate with a major medical high deductible plan.
For full details, benefits, state availability, age limits, definitions, limits and exclusions, please refer to the certificate and member guide.
*Gap Plus Plan - Membership is required in the Healthy America Association *Gap 10K Plan - Membership is required in the United Business Association

Membership Offices: 16476 Wild Horse Creed Road, Chesterfield, MO 63017 - 800-992-8044
Billing / Vitamins / Marketing Office: 409 W Vickery Blvd, Fort Worth, TX 76104 - 866-438-4274