Terms and Conditions

This permission is valid only for the plan year or up to 12 months from the date signed, whichever comes first. You may revoke this permission at any time.

Notice: By submitting this form, you agree to be contacted by Lovejoy Insurance Advisors or a licensed insurance agent/broker to receive information about Medicare plan options. Submitting this form does not enroll you in any plan, nor does it affect your current Medicare enrollment or benefits.