New York Empire Request Your Contract

PLEASE NOTE: Even if you are already licensed and appointed to sell Empire Medicare products, you will need a new appointment to sell these new Empire MediBlue HealthPlus plans.


By completing this form and providing your name, email, postal or residential address, and/or phone number, you hereby expressly consent to receive electronic and other communications from GarityAdvantage Agencies, over the short term and periodically, including email communications. These communications will be about their services, new product offers, promotions, and other matters. You may opt out of receiving electronic communications at any time by following the unsubscribe instructions contained in each communication, or by sending an email to seniormarket@garityadvantage.net. You agree that these electronic communications satisfy any legal requirements that communications or notices to you be in writing.