Schedule your Remote Appointment

Schedule your appointment with a Benefits Counselor here!

Thank you for being a part of the GEM experience! Please complete the form below with your information and best contact time and numbers. Once the information is entered, please click on the “Schedule Now” button and we will have one of our dedicated counselors reach out to you at your convenience.

First Name

Last Name

Email Address

Mobile Number

Employer Name & Location

Date

Time (EST Time Zone)

Additional Phone

Have you talked with a Counselor yet? Have you talked with a Counselor yet? Yes No

Name of Benefits Counselor

Comments

9 + 14 =

GEM Enrollments Corp.

Address:

100 Dutch Hill Road
Suite 220
Orangeburg, New York
10962

Phone:

Toll Free: (855) GEM NROLL
Local: (845) 2-ENROLL