KAFL Kash Reimbursement

Kash Reimbursement

Use the form below to submit qualified reimbursement requests after you've enrolled 12 new-to Medicare clients through KAFL. Please make sure you upload the invoice or receipt associated with that expense and reach out to medicare@kafl.com with any questions.

Your Name(Required)

First Last

Your Email(Required)

Enter Email Confirm Email

Client 1(Required)

First Last Carrier

Client 2(Required)

First Last Carrier

Client 3(Required)

First Last Carrier

Client 4(Required)

First Last Carrier

Client 5(Required)

First Last Carrier

Client 6(Required)

First Last Carrier

Client 7(Required)

First Last Carrier

Client 8(Required)

First Last Carrier

Client 9(Required)

First Last Carrier

Client 10(Required)

First Last Carrier

Client 11(Required)

First Last Carrier

Client 12(Required)

First Last Carrier

Receipt or Invoice Upload(Required)

Max. file size: 50 MB.

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