Producers



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Frequently Asked Questions

 
Become a Connecticare Producer  
Appointment Process
You're about to join a team of professionals proud to represent one of America's highest-rated health plans.
If you're not currently selling ConnectiCare products and services, you're in the right place. Because all producers must be licensed and appointed prior to representing ConnectiCare, we've assembled the following policies and procedures to help guide you through the process.

Effective January 1, 2011, ConnectiCare will no longer pay the agent's or agency's appointment or renewal fees in CT or MA. See Important Change to Appointment and Renewal Fees for more information.

Producers who are marketing ConnectiCare products in the states listed below must submit the following:


Become a ConnectiCare Producer
Appointment Process
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Direct Deposit
Frequently Asked Questions
If you are marketing
ConnectiCare Products in:

You must submit these items:

Connecticut

Check made payable to ConnectiCare, Inc. for $305.00 per each agent and agency for initial appointment fees. See more details.

Direct Deposit Form
Producer Information Sheet
Completed W-9 Form
Copy of Declarations page of Errors & Omissions policy
Complete the Business Associate Confidentiality Agreement; one signed by the agent and one signed by an officer or principal of the agency, if also appointing the agency.
Signed ConnectiCare Agent/Agency Agreement; one signed by the agent and one signed by an officer or principal of the agency, if also appointing the agency.

Click here for Instructions on submitting the above requirements.

Connecticut Exchange (Access Health CT)

There are no fees for this appointment if you are currently appointed with ConnectiCare, Inc. Otherwise, you must complete the requirements for becoming appointed with ConnectiCare as outlined in the Connecticut section above.

Signed ConnectiCare Benefits, Inc. Producer Agreement. (You must be trained and certified by Access Health CT prior to signing and submitting this form).
Completed agreement should be faxed to 860-678-5224 or emailed to: CCIBrokerCommission@ConnectiCare.com.

Click here to learn about training and certification See more details.

Massachusetts

Check made payable to ConnectiCare, Inc. for $75.00 per agent. This fee covers the appointment for an independent agent or for an agent that is not listed on the agency's business entity license.

If appointing an agency, the fee is $75.00 per agent listed on the business entity license. See more details.

Direct Deposit Form
Producer Information Sheet
Completed W-9 Form
Copy of Declarations page of Errors & Omissions policy
Complete the Business Associate Confidentiality Agreement; one signed by the agent and one signed by an officer or principal of the agency, if also appointing the agency.
Signed ConnectiCare of Massachusetts Agent/Agency Agreement; one signed by the agent and one signed by an officer or principal of the agency, if also appointing the agency.

Click here for Instructions on submitting the above requirements.

**Please note: all forms are in PDF format and require the freely available Adobe Acrobat reader. If you don't have Adobe Acrobat reader and would like to download it now, please click here.