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Become a Health New england broker
To begin the application process of credentialing with Health New England as an appointed agency and receive commissions for
commercial sales
, please complete the
Standard Commercial Agency/Broker Application
and return with required documents:
Broker Agreement* (PDF)
Standard Commercial Agency/Broker Information Sheet
Broker Compensation Electronic Funds Transfer Form (EFT)* (PDF
)
Valid Massachusetts Health Insurance License
Errors & Omissions Insurance Certificate
W-9 / Request for Taxpayer ID* (PDF)
*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.
Please email your application and required documents to
salesoperations@hne.com
or mail to:
Health New England
Attn: Sales Department
One Monarch Place, Suite 1500
Springfield MA 01144-1500
Medicare Brokers
If you are interested in becoming a
Medicare
broker, please contact
msupport@hne.com
or call (413) 233-3222.