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How to Apply

Please note that all applications will be submitted in the name of Wiley Long, the president of ColoHealth.  If you have already been working directly with one of our advisors, then that person will be noted in our system as your personal contact.

Before you apply, be sure to view the Imerica Plans Brochure Adobe Acrobat Reader Information.  It contains important information regarding benefits, exclusions, limitations, renewability, and other terms of coverage.

Apply by Fax or Mail

Just download an application Adobe Acrobat Reader Information, fill it out completely, then fax (toll-free 866-284-0082) or mail it to us.

Note:  All policies come with a money-back guarantee.  After receiving your policy, you have 10 days to review it.  If for any reason you decide not to keep the policy, you will receive a full refund of your initial premium.  Remember that you also have access to the guaranteed lowest life insurance rates available, with easy online quotes and applications.

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