*** FOR CURRENT CLIENTS OF LANDIS FINANCIAL ADVISORS, INC. ONLY ***
Steps to Request a Prescription Drug Plan Re-evaluation:

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1) Complete and submit the following form to us prior to December 1st, 2021

2) Each individual MUST complete their own separate request

3) Please allow 7-10 business days for us to respond

4) First come, first serve basis. Please submit early, as the annual election period is limited

5) Incomplete or late submissions cannot be processed

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