Contracting With Different Health Plans
All new agents must follow the instructions in order to become contracted with each insurance company.
Alignment: Download and fill out all producer/agent contract forms and send it back to us. GL AOC Explained, GL DIR DEP ENROLLMENT, GL Prod Agreement Agent Level 2016, and W-9
Blue Shield: To contract with Blue Shield, click on this link: Blue Shield Agent Contracting
On the initial page enter MAC Selections tax ID: 264424855, Department of Insurance (DOI) #08h94667, click on general agent and enter zip code: 90860.
Care1st: RSVP for in person training and contracting. Documents required for contracting: AHIP certification, Insurance license, and Errors & Omissions. Check in with CISA for training dates.
Central Health: Download and fill out paper contract and send it to brokers@centralhealthplan.com. Afterwards RSVP for online training by emailing brokers@centralhealthplan.com and completing the training.
Easy Choice/WellCare: Click on this link to complete your contracting: WellCare Agent Contracting
Health Net:
Humana: Please email us cisa@common-insurance.com. When emailing us please include your full name as it appears on your insurance license along with your NPN#/SSN#.
Scan: Please email us cisa@common-insurance.com. When emailing us please include your full name as it appears on your insurance license along with your NPN#/SSN#.
SilverScript: Download and fill out producer/agent contract and send it back to us along with a copy of your : AHIP certification, Insurance license, and Errors & Omissions: SilverScript Contract
UnitedHealthCare: Please email Sissy Clark sissy@gordonmarketing.com or Nancy Schmitt nancy@gordonmarketing.com to request the Agent/Producer contact. Please fill out the forms below and include them in your email: the Code of Conduct, Indebtedness, and New Agent Information forms.
