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

1) Complete and submit the following form to us 

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

Thank you for submitting!