If you wish to complete multiple contracts, only select “I am a new agent” for your first contract.
For all additional contracting, please select “I am an existing AHCP agent & DO NOT need to update information”
PLEASE NOTE: You must have your E&O.
Health & Life
- Intl Med Group
- ManhattanLife (U65 & Group)
- MEC (Enrollment First)
- Mutual of Omaha
- NationalCare Dental
- Philadelphia American Life Insurance Co. (PALIC)
- PIVOT Health
- The IHC Group
- True Freedom
- UHC Golden Rule (new appointment)
- UHC Golden Rule (transfer appointment)
For the following companies, complete the form and an email with next steps will be sent to you.
- ACE Medicare Supplement – next steps from NAIS
- Allstate Ancillary – next steps from NAIS
- Allstate Benefits (Group) – next steps from NAIS
- Care N Care – next steps from NAIS (only in TX)
- Cigna Senior Supplemental – next steps from Expressway
- ManhattanLife Lighthouse Series – next steps from NAIS
- PRAM – next steps from PRAM
*Carriers are not available in all states.