Find A Provider
Find A Drug
Search
Login
Menu
Member, Employer, Broker Portal
MyHNE
Login
Provider Portal
HNEDirect
Login
Members
Employers
Providers
Brokers
Find A Provider
Find A Drug
Member, Employer, Broker Portal
MyHNE
Login
Provider Portal
HNEDirect
Login
About
Careers
Plans
Pharmacy
Wellness
Community
Forms
Contact
Medicare
News
Make a Payment
Members
Medicare
MassHealth
Need Insurance?
Care Management
GIC Members
Health Library
Employers
834 Enrollment
Reference Guide
EZ Enroll
Machine Readable Data
Brokers
Become a Broker
Service Area Map
Enrollment
Contact Us
New Business Submission
Underwriting
Providers
Provider Manual
Become a Provider
Behavioral Health Survey
Resources
Provider Contacts
EOP Search
Members
Medicare
MassHealth
Need Insurance?
Care Management
GIC Members
Health Library
Employers
834 Enrollment
Reference Guide
EZ Enroll
Machine Readable Data
Brokers
Become a Broker
Service Area Map
Enrollment
Contact Us
New Business Submission
Underwriting
Providers
Provider Manual
Become a Provider
Behavioral Health Survey
Resources
Provider Contacts
EOP Search
About
Careers
Plans
Pharmacy
Wellness
Community
Forms
Contact
Medicare
News
Make a Payment
Become a Health New england broker
Credentialing Information Required
To receive commissions for new sales please complete the following information and return it to us:
Broker Agreement* (pdf)
Copies of License (Massachusetts)
W-9 / Request for Taxpayer ID* (pdf
)
Standard Broker Information Sheet
Copy of Declaration Page of E & O Policy
Broker Compensation Electronic Funds Transfer Form (EFT)* pdf
Please mail this information to:
Health New England
Attn: Sales Department
One Monarch Place, Suite 1500
Springfield MA 01144-1500
(413) 233-3535
Email:
sales@hne.com
*Please click on the form that you need and it will open in PDF format so you can print it. If you need acrobat reader, please click
here
to download it.