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Why You Should Join IH365
Healthy Commissions, Some of the Highest in the Industry!

Free Customized Automated Marketing Websites

No Minimum Quotas Required

No Licensing Required

No Experience Necessary


Monthly Residual Income

Completely Automated

Online Sales Resources

Get Access to our affiliate program today!


To See our Representative Compensation Click Here

Or Download Compensation Plan Here

How to Join

Simply fill out the application and submit!

We will process your application and email you a welcome letter that includes all the information you need to get started.

Or you can call us and we can get you started over the phone.

Thats it! What are you waiting for? Start down the road to financial freedom today!

Join IH365 Today!

REPRESENTATIVE APPLICATION
Primary Cardholder's Personal Information Should Be Listed Directly Below
NAME
Company   or
 
First 
MI 
Last 
ADDRESS
Street 
Apt# 
City  State  Zip# 
PERSONAL INFORMATION
SS# (required for Commissions)
DOB
  Male   Female
CONTACT INFORMATION
E-mail Address 
Home Phone 
Cell Phone 
Fax  
 
DEPENDENT INFORMATION
Dependents Name (First, M.I., Last)
Date of Birth
Relationship
   
   
   
   
   
COMMENTS
   
REPRESENTATIVE OPTIONS
INDEPENDENT REPRESENTATIVE (IR):
Includes Membership In One of The Following | Your Choice
IH365 Optimum Plan: $39.95 | Monthly
IH365 Dental Plan Plus Teladoc: $21.90 | Monthly
Includes 2 Personally Customized Automated Marketing Websites,
Training Manual, Applications, Brochures, Sales Presentations
 
IH365 Optimum Health Plan:
(Not available in KS, UT, WA, VT)
Includes:
Doctor Visits, Hospital Referral, Teladoc, Doctors Online, Retail Health Clinics, Alternative Medicine, Lab Testing, MRI and CT Scans, Chiropractic, NurseLine(TM), Health Advocacy, Medical Bill Saver™, Pharmacy, Dental, Vision, Global Travel Assistance, Vitamins and Herbal Supplements, Hearing Aids, Diabetic Supplies and Durable Medical Equipment.
$39.95 Monthly
Individual 
Family
IH365 Dental Plan with Teladoc:
(Not available in KS, UT, WA, VT)
Includes
Dental, Vision, Pharmacy, Vitamins and Diabetic Supplies
$21.95 a month
$21.90 Monthly Individual
Family
Payment Choice   Monthly    Quarterly   Annually  
One Time Registration and Processing Fee:   
$10.00 
Total Amount:  
$   
Please select a Payment Option and fill in all Corresponding Fields
  Credit Card Billing
I hereby authorize Affordable Health & Benefits to charge the above funds to my selected Credit Card. I agree that if any charge is dishonored, whether intentionally or inadvertently, AHB shall be under no liability whatsoever.
  Check here if Name, Address and Contact info are same for Credit Card Billing as AHB Cardholder info (above) and skip to Credit Card Information
NAME
First 
MI 
Last 
ADDRESS
Street 
Apt# 
City 
State 
Zip# 
CONTACT INFORMATION
E-mail Address 
Home Phone 
Cell Phone 
Fax  
CREDIT CARD INFORMATION
Exp. mth/yr
Credit Card # no spaces
  Automatic Funds Transfer Authorization
I hereby authorize Affordable Health & Benefits to transfer the above funds from my selected credit card. I agree that if any charge is dishonored, whether intentionally or inadvertently, AHB shall be under no liability whatsoever.
  Bank Name
  
Bank Address
 
  Account Number
  
Routing Number
Check Number

(Place next available check number here, void that check and deduct total program sign up fee from your register)
 
Representative that sent you to this site
Name: Corporate   ID# 1000
Explanation of Medical Savings and Service Program

I wish to join the IH365 health plan. Actual savings will vary depending on the region and the type of specific services provided. IH365 savings programs cannot be used in conjunction with any similar style program. All listed or quoted prices or fees are current prices at the date of publication and are subject to change. The IH365 program benefits may vary in some areas and the program and providers may be modified at any time.

Effective Date: The first of the month, after the month in which you joined.

Your member instruction guide and cards should be arriving in approximately 7 to 10 business days.

Billing: An automatic draft on the 5th of every month from a checking or credit card of your choice.

Members may cancel their IH365 program at any time upon notice via phone, mail, email or fax. Request to cancel must be received 5 business days in advance of the next billing cycle for Member not to be charged for that billing cycle, if the notice of cancellation is not received prior to the billing cycle, then cancellation of payment will occur at the next billing cycle. Cancellations within the 1st 30 days of the program are eligible for a refund of member fees excluding the one-time processing fee. AR and TN residents: A refund of all fees will be issued if membership is cancelled within the first 30 days.

This plan provides discounts at certain healthcare providers for medical services. This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization Dental Benefit is not available to VT residents. The discount program provides access to the Aetna Dental Access® network. This network is administered by Aetna Life Insurance Company (ALIC). Neither ALIC nor any of its affiliates offers or administers the discount program. Neither ALIC nor any of its affiliates is an affiliate, agent, representative or employee of discount program. Dental providers are independent contractors and not employees or agents of ALIC or its affiliates. ALIC does not provide dental care or treatment and is not responsible for outcomes.

Hospital Discounts NOT available in MD, VT or WV residents.

Global Travel Assistance is not available to NY, FL, OR or WA residents.

Discount Lab Work Benefit is not available to HI, MA, MD, ND, NJ, NY, RI or SD residents.

© 2017 Teladoc, Inc. All rights reserved. Teladoc and the Teladoc logo are registered trademarks of Teladoc, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services. Click here to view a Teladoc Access Map.

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  I have read, understand and agree to the above Independent Representative Agreement

Name


   
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