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Agent of record forms - Individual

What does "agent of record" mean?


You can easily make us your agent of record.  This means you're our client, and we're your broker.  As our client, we can make calls directly on your behalf to the insurance carrier in order to resolve claims, billing, and enrollment issues and get answers to any questions you may have.  You never have to pick up the phone or stay on hold.  As your agent, you can count on us for answers to all of your health insurance questions, we can help you eroll in the best plan to meet your needs, and keep you up-to-date on the latest in healthcare reform.  We save you time and money.


Make us your agent of record: locate your carrier below, complete the form, and return to us.


It's that easy.


Forgot to enter our NPN on your Marketplace Application?

Simply complete your carrier's form below and email to us at

Forgot to enter our NPN
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