Fax completed applications to: (847) 220-9280
Mutual of Omaha - Illinois Medicare Supplement Plans
Submit Application
If you have a scanned copy your completed Mutual of Omaha Medicare Supplement application on your computer, you can submit it using the form below. When the policy is received and activated, a confirmation email will be sent to the email provided below and your policy booklet and ID cards will be mailed to the address on the application.