Agent Onboarding Form

Congratulations for being selected to become an agent for Accurate Health Plans.

To get your own agent page with Accurate Health Plans, please provide the following information.  We will review the information for clarity and accuracy.  Once you are appointed through our agency, your site will go active.


Permission to Contact FormPaul Pritt


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormRikki Toppo


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormBrittney StricKland


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormPilar Lumpkin


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormSteve McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormMark McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormSteve McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormSteve McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormSteve McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormAnita Walker


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormPilar Lumpkin


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormPilar Lumpkin


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormMark McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Permission to Contact FormMark McDade


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.

Medicare Supplement Plan N - 2020
Medicare Supplement Plan G - 2020
Medicare Supplement Plan F - 2020
Permission to Contact Form


By entering my contact information and clicking “Make an Appointment” above, I consent to receive e-mails, telephone calls, text messages and artificial or pre-recorded messages from Accurate Health Plans licensed insurance agents regarding health insurance products and services including Medicare Advantage Plans and/or Prescription Drug Plans, at the e-mail address and telephone number provided above, including my wireless number (if provided), using an automated telephone dialing system. I understand that my wireless carrier’s standard message and data rates apply. I understand I can make a purchase or speak to a licensed insurance agent without granting this consent, and I may revoke this consent at any time. I instead may call (800)235-0876 to speak to a licensed insurance agent. I agree to this website’s Privacy Policy and Terms & Conditions.