Imagine Insurance Advisors
Contact Imagine Insurance Advisors
Get fast service and help by communicating with us via our online contact form. Print Appointment forms.
Licensed Insurance Agents | Download Appointment Forms
Imagine Insurance Advisors' agents are licensed in Kentucky, Indiana and several other states.
Contact Us
Phone (502) 742-4979
Fax (502) 749-7700
Email: info@imagineinsadv.com or use the Contact Form below or use your agent's email address.
Office & Mailing Address
Imagine Insurance Advisors Inc.
3036 Breckenridge Lane
Suite 101
Louisville, Kentucky 40220
Office Hours
Monday 9:30 AM to 4:30 PM
Tuesday 9:30 AM to 4:30 PM
Wednesday 9:30 AM to 4:30 PM
Thursday 9:30 AM to 4:30 PM
Friday 9:30 AM to 4:30 PM
Saturday Closed
Sunday Closed
Meetings are by appointment only and we may not be able to accommodate walk-in questions or appointments. Thank you for understanding we are a small business and hours may vary.
Appointment/Review Forms
The below packets are required for all new appointments and plan review requests. There are two options for completing these packets: a single printable PDF packet that you email/mail/fax back to us OR by using our secure online submission forms (you will need to complete multiple form links depending on the product you want to discuss. See below.)
The online submission forms are secure, HIPPA compliant Jotforms that you type your information into (RX/doctors/Scope) and then are sent to us electronically when you hit the green Submit button. Similar to an online questionnaire. No printer needed for the "online" forms.
Please don't use the "Contact Us" contact form at the bottom of this page to request a plan review. The Contact Form is for new client inquiries, or if you have misplaced our email address and need to reach out via email.
• If you want a Part D Drug Plan review, we need either the printable "Part D Drug Plan Review (PDF)" filled out and email/mail/faxed back to us OR all of the following online submission forms to be completed: Drug List, Scope of Sales Appointment Form, and Medicare.gov Authorization Form.
• If you want a Part C Medicare Advantage Plan review, or would like to discuss MAPDs, we need either the printable "Part C Medicare Advantage Plan Review (PDF)" filled out and email/mail/faxed back to us OR all of the following online submission forms to be completed: Drug List, Doctor List, Scope of Sales Appointment Form, and Medicare.gov Authorization Form.
Part D Drug Plan Review (PDF) This is a printable packet that you fill out and send back to us.
Part C Medicare Advantage Plan Review (PDF) This is a printable packet that you fill out and send back to us.
Medicare.gov Authorization Form (PDF) This is a printable packet that you fill out and send back to us.
Fill out the Drug List online. This is an online electronic submission form; no printer required
Fill out the Doctor List online. This is an online electronic submission form; no printer required
Fill out the Medicare.gov authorization form online. This is an online electronic submission form; no printer required
Fill out the Scope of Sales Appointment Form online. This is an online electronic submission form; no printer required
Contact Form
The information you share with us on this form is used only as consent for us to contact you about the products you are looking for. We never share your information outside of our company for any reason other than to process applications and support your policies.