Compliance Review Request URLThis field is for validation purposes and should be left unchanged.First Name(Required)Last Name(Required)Email(Required) Phone(Required)Is this a new submission?(Required)Is this a new submission?New SubmissionPreviously Approved (Cloned) MaterialWhen will this piece be distributed?(Required)When will this piece be distributed?AEP (10/1/2026 through 12/7/2026)Plan Year 2027Rest Of Year (ROY) 2026Rest Of Year (ROY) 2027Media Type(Required)Media type:WebsiteDirect MailDigitalPrintOther (Explain in notes)This field is hidden when viewing the formIntended Purpose (i.e. 2027 entire year sales event banner)Files must be submitted in a Word doc. If your file is an image or PDF, please submit a Word doc. with the language written out plainly in addition to the image itself.(Required) Drop files here or Select files Max. file size: 15 MB, Max. files: 10. Additional NotesCAPTCHA Δ
