Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Health Net Life Insurance Company before sending sensitive documents. FaxFlow is not affiliated with this organization.
Health Net Life Insurance Company fax number
(844) 222-3180
Enrollment (Medicare Supplement) / Broker Enrollment
Used for: Submission of Medicare Supplement enrollment forms by fax
Fax destination details
- Department
- Enrollment (Medicare Supplement) / Broker Enrollment
- Purpose
- Submission of Medicare Supplement enrollment forms by fax
- Form
- Enrollment application — Application for a Medicare Supplement Policy
- Voice phone
- 1-800-944-7287 (TTY: 711)
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
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Complete the application; sign and date it, then mail or fax to 1-844-222-3180.
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