APPLICATION SUBMISSION

There are many ways agents and agencies can submit completed applications.

This process might be overwhelming and confusing.

We at Green Leaf will gladly assist and help.

If you have questions, reach out to us at

Submissions@GreenLeafFMO.com

green leaf fmo medicare

MY E APP

ONLINE ENROLLMENT PLATFORM

Agents and agencies have FREE access – LOGIN to get started!

green leaf fmo my e app
AGENT LOGIN

“DRAG & DROP”

SECURE APPLICATION LINK

Agents and agencies have FREE access – CLICK to get started!

AGENT “DRAG & DROP” LINK

FAX

We have multiple fax lines that can be used any time of day.

A submission confirmation will be emailed to you within 24 hours of your application being submitted to the carrier.

fmo application submission

Main Fax Line: (877) 262-2799

Alternate Fax Line: (866) 861-2199
Alternate Fax Line: (888) 322-8868

Carrier Direct Submission Information

MAIL

Have an application that you want to drop in the mail?

green leaf mail

Green Leaf FMO
P.O. BOX 2588
Temecula, CA 92593

DROP OFF IN PERSON

Have an application that you want to drop in person?
Head to our main office.

drop off green leaf fmo

Green Leaf FMO
43385 Business Park Drive, Suite 160
Temecula, CA 92590