Order your Medicare Supplement supplies by filling out this EASY FORM.

You can access the rate sheets and all forms online through GTLink. (www.gtlic.com/agent-connection.html)

Contact Sales Support today with any questions or to get
supplies at 800-323-6907 or agency@gtlic.com.

FOR AGENT USE ONLY - Cannot be distributed to the public or used in any consumer solicitation. Medicare Supplement insurance policies are issued on Policy Form G1041A, G1041F, G1041G, G1041N, G1040A, G1040F, G1040G and G1040N. Certain exclusions and limitations may apply. For costs and complete details of the coverage, please refer to the policy and outline of coverage for plans available in your state.