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CONTRACTING REQUEST 

IMPORTANT THINGS TO KEEP IN MIND

  • For agents who are beginning their onboarding process with Health Insurance Store. By completing this form the HIS team will be able to register the agent in our system and begin to send out all contracts that have been requested. 

  • For agents who have already registered thru the "Agent Information Form", this category is to be used when requesting additional contracts.

  • All additional communication must be sent to contracts@hisagents.com

  • All requests must be submitted through appropriate form. 

  • Any relevant information must be included in the comments. Ex. assignment of commissions, adding state appointments etc.

  • For General Agencies that need to request contracts please reach out to contracts@hisagents.com for your unique form. Please do not use this form to submit your request if you are a general agency.

AVAILABLE CARRIERS

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MEDICARE CARRIER PORTALS 

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