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Please use the following applications as an indication only, since they are Updated on a regular basis. To receive a current application on the health insurance plan that you have chosen, please contact us at or call us to request it.

For which Insurance company would you like an application?

1) Aetna
2) Global Benefits Group
3) MultiNational Underwriters 
4) Seven Corners
5) HTH Worldwide

For all other companies, please contact us and we will email the application to you immediately.

Once you have completed and signed the application, please mail it to our office address:
7700 N. Kendall Drive, Suite 412
Miami, Florida, 33156

Tel 305-661-6793
Fax 305-675-6134

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