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.

There are currently no fees for an initial appointment. Appointment Renewal Fees will be billed every two years on even numbered years.

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


Become a ConnectiCare Producer
Appointment Process
Register Now!
Online Services
Commissions & Bonus Programs
Direct Deposit
Frequently Asked Questions
If you are marketing
ConnectiCare Products in:

You must submit these items:

Connecticut

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)

You must complete the requirements for becoming appointed with ConnectiCare as outlined in the Connecticut section above.

In addition, you must be trained and certified by Access Health CT prior to signing and submitting this ConnectiCare Benefits, Inc. Producer Agreement.
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 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 for 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.