Register with Shop & Enroll

Registering with Shop & Enroll lets beneficiaries manage their account and connect with their licensed insurance agent.

First Name (Required)

Last Name (Required)

Email (Required)

Password (Required)

Confirm Password (Required)

Passwords must be at least eight characters and must include the following: one lowercase character, one uppercase character, one number, and one special character (!@#$%^&*).

I prefer to be contacted in any of the following methods:

Phone

Text

Phone Number

Mobile Number

Address

Apt/Suite

City

State

Zip Code

County

I have read and agree to both Privacy and Terms & Conditions.

This is a solicitation for insurance. By entering your name and information above and clicking the Register with Shop & Enroll button, you are giving permission to have a licensed insurance agent contact you to provide information regarding the marketing of insurance products (i.e., Medicare Advantage Plans (Part C), Prescription Drug Plans (Part D), and/or Medicare Supplement (Medigap) Products) and services. Your consent is voluntary and allows us to contact you via email, text messaging, artificial or prerecorded voice messages, or automatic dialing for marketing purposes. You may contact us to change your preferences at any time. Data use charges and rates from your cellular carrier may apply.