"Good data in equals good data out."
Please fill out the fields below, add any notes for the plans and attach all plan docs on the last page. Once you are finished just hit submit on the last page. Thanks for partnering with Velocity Benefits!
Accident
Hospital Indemnity
Gap Plan
Critical Illness
*Note - rater per $1,000 are required for CI - please request from the carrier if you do not have them in this format.
Cancer Only
Miscelanious Plan