Agent Qualification Application

Apply For Pre-Qualified
Medicare Live Transfers.

Complete the 2-minute qualification below. If your active licensed states and production capacity match our current live transfer volume, you'll be invited directly to schedule a strategy call.

First Name *

Last Name *

Phone *

Email *

Do you currently hold an active health insurance license? *

Yes

What is your current AHIP certification status? *

Yes - Certified

In Progress

No - Medigap Only

What is your primary Medicare product focus? *

Medicare Advantage

Medicare Supplement

Both

How are you set up as an agent or agency? *

Solo agent

Small team

Agency

Which states are you currently licensed in? *

How many Medicare applications do you write per month on average? *

0-5

6-15

16-30

30+

What is your Medicare enrollment target for the upcoming AEP or season? *

25-50

50-100

100-200

200+

Current Lead Source *

Lead vendors

Referrals

Organic/social

Paid advertising

Direct mail

Door knocking

Other

What is your single biggest frustration with your current Medicare leads? *

Misleading flex-card junk

Low contact / answer rate

Non-SEP / ineligible seniors

Dialing fatigue

Leads too expensive

Other

How many hours per week are you available for live transfers (11 AM – 6 PM EST)? *

10-20 hours

20-30 hours

30-40+ hours

What is your monthly budget for live transfers? *

$1,000 - $2,500

$2,500 - $5,000

$5,000+

How soon are you looking to start receiving live Medicare transfers? *

Immediately

Within 1-2 weeks

Within 30 days

2-3 months

Just researching

Application Consent *

I confirm that I want to receive content via SMS, Phone and Email from SPRK using any contact information I provide.

Apply For Pre-Qualified Medicare Live Transfers.

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Apply For Pre-Qualified
Medicare Live Transfers.