email
download
09.12.2011
United Healthcare Appointment Packet
Required for UHC appointment. Broker must be appointed before you can sell. We will also need copy of W9, health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
United Concordia Appointment Packet
Required for UCCI appointment. Broker must be appointed before you can sell. We will also need copy of W9, health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
Oxford Appointment Packet
Required for Oxford appointment. Broker must be appointed before you can sell. We will also need copy of W9, NJ health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
OptiMed Appointment packet
Required for OptiMed appointment. Broker must be appointed before you can sell. We will also need copy of W9, PA health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
Horizon Sub-Broker Agreement
Required for Horizon appointment. Broker must be appointed before you can sell. We will also need copy of W9, NJ health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
Delta Application for Appointment
Required for Delta appointment. Broker must be appointed before you can sell. We will also need copy of W9, health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
Amerihealth DE Producing Agent Agreement
Required for AHDE appointment. Broker must be appointed before you can sell. We will also need copy of W9, DE health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
Amerihealth NJ Producing Agent Agreement
Required for AHNJ appointment. Broker must be appointed before you can sell. We will also need copy of W9, NJ health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.12.2011
IBC Producing Agent Agreement
Required for IBC appointment. Broker must be appointed before you can sell. We will also need copy of W9, PA health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).
email
download
09.11.2011
Aetna Appointment Packet
Aetna appointment is done online. Broker must be appointed before you can sell. if not currently appointed with B&B, please send us copy of W9, health license, E&O dec page, B&B Producer form, and B&B ACH form (plus copy of voided check).