Medicarians | The Future of Senior Health & Wealth Distribution

Agency Owner / Agency Principal - HealthAgency Owner / Agency Principal - WealthIndividual Producer - HealthIndividual Producer - WealthIMO / FMO - HealthIMO / FMO - WealthOther (Please Specify)

If you are an individual producer serving the Medicare market, approximately how many applications do you do during AEP?

If you are an individual producer, in which States are you licensed?

If you are an individual producer, how many years have you been writing policies?

If you are an agency owner or agency principal, how many members are in your team and/or downline?*

If you are an agency owner or agency principal, in what states / regions do you operate?*

Medicare SupplementMedicare AdvantageMedicaidDual EligibleSupplemental BenefitsFinancial Planning / RetirementOther (Please Specify):

Compliance / Compliance TechLead GenerationJoin New UplineGrow DownlineDeveloping New SkillsetsAgency Operations / Increasing EfficienciesSelling an AgencyNew Plans to Offer / SellValue-Add Offerings for ClientsSocial MediaOther (Please Specify):

Individual Hosted Agent (1 Roundtable)Team Hosted Agent (1 Roundtable per Team Member)

Would you like to apply for Hosted Agent Plus?*

Upgrade your Medicarians experience with a $395 Hosted Agent Plus Pass. Select 'Please Add Me' Below if interested.

Includes All Benefits of Hosted Agent Pass, plus:

Exclusive Lounge with Refreshments
Priority Registration Desk
Private Networking Function
Dedicated On-Site Help
Extended Access to Video Playback

Yes, Please Add MeNo Thanks

I understand that if I am selected as a Hosted Agent, I will be required to attend at least one sponsored session. Note: The list of participating sessions will be shared with me by show management three to four weeks from Medicarians Vegas 2026.*

If you have any comments and/or questions, please feel free to share them here.

Hosted Agent Application

Which of the following best describes you? *

On which of the following areas of the Senior Health & Wealth ecosystem do you focus? Choose all that apply.*

Which of the following areas of business development are the most interest to you? Choose all that apply.*

For which Hosted Agent Program do you wish to apply?* Learn More

If you selected the Team option above, approximately how many team members would be joining you?

Would you like to apply for Hosted Agent Plus?*

I understand that if I am selected as a Hosted Agent, I will be required to attend at least one sponsored session. Note: The list of participating sessions will be shared with me by show management three to four weeks from Medicarians Vegas 2026.*