Barrett, Liner & Company is taking applications for health insurance.
Download the FMA-CCMS form and fill out the following and return to Barrett, Liner & Company.
- Underwriting questionnaire form (disregard UTC-6 information at this time)
- Current plan of benefits (please ensure RX coverage is indicated)
- Current billing with: Age by name of employee & Circle name of physician / owner
Return to:
Barret, Liner & Company
Send by mail: PO BOX 270 Ocala, FL 34478
Send by fax: (352) 622-1050
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