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Group Medical  
AMG provides services for Blue Cross/Blue Shield, United Healthcare, Memorial Herman, OptiMed and SIS. Offering the full range of products and assistance one would expect from a brokerage agency, AMG provides marketing expertise, quoting, pre-screening, enrollment and application services to support production and service efforts. AMG’s focus on service and relationships makes it the superior choice as a group medical general agency.

The quote you have requested requires that you complete the following survey as completely and accurately as possible. Once submitted the information may be faxed or emailed to our office and we will expedite your request. This information will be kept confidential and will be used for quote purposes only. Email to heather@affiliatedmarketing.com or Fax to: 713-977-3877

Download Quote Request - Because of the size of the file, you may have to wait a few moments for it to fully load. If you would like to just save the document to your computer so you don't have to wait for the download, right click on the link and select SAVE TARGET AS.

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We will assist you in shopping your renewals

Click On The Carrier Name For The Needed Forms:


AMG will request the Tier I claims data on your behalf on BC/BS groups we service.  If the group was not submitted thru AMG, please provide a Current Census, Company Tax ID and the completed HB2015. To renew a BC/BS case as is, submit the MSP form received by your client.  If a plan change is made, send the amendment form with the MSP. If you wish us to quote a new case with BC/BS, please complete the Gatekeeper Form.


Complete the HB2015 and HB2015 Additional Information Form (for claims over $15,000) include a copy of the renewal census with any changes.

To renew a UHC written thorugh AMG send an email to Heather Matias Ainesworth .  To make changes, complete the renewal change form included in the renewal packet and forward to Heather.

All Other Carriers:

Complete the HB2015 and include a census along with the client Tax ID.

It can take up to 30 days to receive the claims information so act early on your renewals!








(Partially Self Funded)




Spanning The Gap In Medical Benefits


Value Added Services From AMG:
  • Claim Dispute Assistance
  • Drops and Adds
  • Renewal Support
  • Enrollments
  • Forms
  • Product Knowledge
  • Billing Issue Support

We also offer:

 Group Short & Long Term Disability Income

Group Life

Group Long Term Care

We represent the carriers, but we work for you and your clients

When you partner with AMG you and your clients benefit from our value added services.



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