Step 3 – Insurance Renewal Request To make your Boomers Membership renewal SIMPLE, when you click the SUBMIT button at the bottom of this form you will be redirected to a SECURE payment portal where you can select your membership payment option, complete the form and VOILA -- you're done! The payment portal notifies us immediately of your name(s) and payment amount. No need for invoices and the complex back-and-forth of past years. This is easy and SIMPLE. Within 48 hours of your submission we advise PACIFIC PRIME of your renewal and they will assist you with the payment of your 2022 insurance premium.I have received and reviewed the Boomers/Best Doctors SUMMARY OF BENEFITS for the policy period commencing January 1, 2022.* Yes Name* LAST FIRST Your Email Address:* Email is our main method of communication with our members. Lots of things change in a year, so please confirm your email address for our records.Name of 2nd Member requesting renewal (if applicable): LAST FIRST In the case of a couple or partner, please add the second member's name.2nd Member's Email Address (if applicable): Phone Number(s)* Please list your land line first (including area code) and then your complete cell phone number. It is imperative that we have a phone number to contact you!Best Doctors Member Portal Help:*Would you like additional assistance in setting up your Best Doctors Member Portal (this is your private section of the Best Doctors website, with information such as policy details, claim history and banking info for reimbursements)? If so, PACIFIC PRIME would be happy to help. Please indicate your preference below. I would like additional help I do not need help Today's Date* MM slash DD slash YYYY Your payment must be completed using a credit card. The information requested in the next step pertains to the billing info associated with your credit card and not necessarily where you currently live. (Note: If you encounter problems, please contact us at ava@boomers-in-paradise.org ) PLEASE NOTE THAT THE NEXT STEP IS FOR PAYMENT OF YOUR BOOMERS-IN-PARADISE ANNUAL MEMBERSHIP FEE, THIS IS NOT YOUR YEARLY INSURANCE PREMIUM PAYMENT.CAPTCHA Δ