Skip to main content
Open Search
Get Contracted
Search for topics or resources
Enter your search below and hit enter or click the search icon.
Close Search

Co-Op / 1,000 Piece Mailer Submission Form

Simply complete the below Co-Op / Lead Mailer Enrollment Verification Form and submit.

We appreciate your business and partnership.

*For agent use only. Not affiliated with the U. S. government or federal Medicare program. This website is designed to provide general information on Insurance products, including Annuities. It is not, however, intended to provide specific legal or tax advice and cannot be used to avoid tax penalties or to promote, market, or recommend any tax plan or arrangement. Please note that PSM Brokerage, its affiliated companies, and their representatives and employees do not give legal or tax advice. Encourage your clients to consult their tax advisor or attorney.