Submit Business

When your client says yes to a Nassau product, our eApp helps you get the policy issued quickly and painlessly. It's the easy, fast and smart way to submit your business!

Submit Business

When your client says yes to a Nassau product, our eApp helps you get the policy issued quickly and painlessly.
It's the easy, fast and smart way to submit your business!

Pre-app Checklist

To ensure a smooth process, the applicant should have the following information readily available prior to beginning the eApp.

  •  Applicant email address
  •  Medicare ID card
  •  Applicant's bank name, account number and routing number
  •  Plan: A, F, G, or N (also plan B in PA)
  •  Primary care physician's name, city and state
  •  Existing policy number and name of carrier, if replacing
  •  Proof of Guaranteed Issue eligibility, if applicable

Other Information

These materials are designed to provide you with resources and tips to support you in the sales process.



Important Disclosures

For Producer Use Only. Not for distribution to the public.

Premium and benefits vary by plan selected. Plan availability varies by state. Policies have exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, contact the company. Medicare Supplement policies are underwritten by Nassau Life Insurance Company of Kansas ("Nassau"), a subsidiary of Nassau Financial Group.

Nassau currently offers Medicare Supplement insurance in AL, CO, DE, IL, IN, IA, KS, KY, LA, MD, MI, MS, MT, NE, NM, NV, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, WY. Nassau is not authorized to market Medicare Supplement insurance in AK, AR, AZ, CA, CT, DC, FL, GA, HI, ID, MA, ME, MN, MO, NH, NJ, NY, OR, RI, VA, VT, WA, WI, WV. Our company and agents/producers are not connected with or endorsed by the U.S. Government or the federal Medicare program.

FOR PRODUCER USE ONLY

BPD: 40734