Hosted Agent Application

Apply to qualify for a complimentary pass ($2195 value) to attend Medicarians Vegas 2026 in exchange for attending at least one sponsor-led session.

Who is eligible: Individual Agents, Agency Owners and Principals, Agency Admins, Agency Executives

Submitting an application does not constitute a registration. All applications are reviewed for approval with a confirmation sent to your email. Travel and hotel expenses are not included.









    Agency owner / Agency principal - healthAgency owner / Agency principal - wealthIndividual producer - healthIndividual producer - wealthIMO / FMO - healthIMO / FMO - wealthOther (Please Specify)









    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)


    <45 - 10>10


    YesNo