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Two Important Announcements: Updated Form and New Ad Templates Available

Read below for two important announcements. Please note that these announcements apply only to Illinois Individual sales.

Update to Individual Automatic Premium Payment Program Form

As we shared in May, we’re taking steps to better meet data security requirements and protect our members’ data. As part of this initiative, we’ve updated the Individual Automatic Premium Payment Program Form. The new version can be viewed here.

This form is often used by your clients at the time of enrollment onto our Individual plans. In the updated version, we’ve replaced the process for collecting and submitting the applicant’s credit card information to make payment more secure. For that reason, we ask all agents to immediately remove older versions and replace them with this updated version, which is available for order or print within the Individual Forms section of Forms & Resources at

Applicants still have the ability to use the form to submit requests for automatic premium payments made through their Checking or Savings bank accounts. If your clients would prefer to use their credit card to pay, however, please direct them to visit to set up their member account and payment.

Individual Small and Large Broker Advertising Templates Available for Illinois

Do you need marketing inspiration? Want successful ads but don’t have time to create them from scratch? Health Alliance is thrilled to announce that our Illinois Individual fillable marketing templates are now available.

To access our Small and Large Broker Advertising Templates, log in to, open Forms and Resources, and select your choice of templates within the Individual Marketing section.

You can also find the templates here:

Individual Small Broker Ad

Individual Large Broker Ad

Our fillable Broker Advertising Templates allow partners, like you, to add a personal touch when advertising in your local newspapers, newsletters and magazines. Let us help you grow your business!

Thank you, as always, for your valued partnership and your willingness to promote Health Alliance.

If you have any questions about either of the two announcements, please contact Broker Services at or by calling (877) 917-8489.