Contracting Information M - Z

To get started please request the carrier by completing our Request Form then we will email you the contracting instructions.

To transfer you will need to obtain a letter of release from your previous upline and send a new conract.

Thank you for your interest in marketing Memorial Hermann through Applied General Agency. Memorial Hermann uses an online contracting system and we will need some information to get the process started.

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request you will receive an invitation with a link and access code to begin contracting in a few days.

To complete the contracting you will go to https://miramar-agent.com and use the access code from your email. If you cannot find your access code please email contracting@appliedga.com or help@appliedga.com. Please see the Miramar User Guide to complete the contracting.

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request you will receive an invitation with a link and access code to begin contracting in a few days.

You will need to complete the contracting and upload a letter of release on https://miramar-agent.com and use the access code from your email.  If you do not see a place to upload a release email a copy of your release to contracting@appliedga.com and hart@trustedseniorspecialists.com.

Changes are made on www.Miramar-Agent.com 

Changes are made on www.Miramar-Agent.com 

Agent commission is paid directly by the carrier to either yourself or a corporation you own. If you would like your commission to be paid to a corporation you do not own or to another individual please complete the Memorial Herman AOC form. You will need to assign your commissions to Trusted Senior Specialists, and TSS will pay AGA and AGA will distribute your commissions.

This is a just in time carrier except for business submitted in PA. meaning we contract you at the same time you write your first piece of business, except in PA.

If you would like to get contracted prior please complete the Medico Contract via DocuSign. This contract will place you directly under AGA and pay your commissions directly to you or a corporation you own. Please have your void check ready to upload. If you would like your commissions to be paid to a corporation you do not own, please contact contracting@appliedga.com.

Medico Contract

Important: Enter your full name as it appears on your license after clicking the contracting link.

To begin a transfer complete a Medico Contract via DocuSign. This contract will place you directly under AGA and pay your commissions directly to you or a corporation you own.

A letter of release is needed if you have written business in the last 6 months under your current hierarchy.

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request you will receive an invitation with a link to begin contracting in a few days. Click on the link to begin contracting.

Domain molinahealthcareinc

Complete online carrier contracting, see Molina Agent Appointment Guide. 

The Full Contract must be completed within 60 days, otherwise the invite is deleted.

Workflow Case Status:

Retrieve NPN – Case Created, not yet started.

Producer Application – Case has been started, but not yet completed.

Review Application – Case has been submitted to Molina for processing.

Awaiting Training Completion – Case has been approved and waiting for agent to complete certification.  If agent has completed certification, notify Molina of completion date.

Review & Submit – Certification completed, final review by Molina.  Background is ordered.

Appointment Pending – Appointments have been processed.  This usually takes 2 business to proceed to active status.

Onboarded – Case is now active.  Agent will show RTS.  Welcome Letter with Writing Number is sent both to the agent and agency.

Ready to Sell (RTS) requirements that must be me in order to SELL and BE COMPENSATED for any Molina Medicare Policy:

Contracting Completed for Current Year

Certification Completed for Current Year

Agent must have a current Errors and Omissions on file with us at the time a policy is written.

Agent must have a current license and applicable Molina appointments in the state(s) they are contracted with us.

See Molina Transfer Guide

Not available during AEP

To add state(s):
Send an email to: MCRBrokerContracting@MolinaHealthcare.com
Subject Line: Add Additional States
Include copy of licenses for requested states. Broker Support will respond back to you and cc your upline
once you have been appointed and are ready to sell in additional state(s).

Lines of Authority:
• CA – Accident & Health
• FL – Health
• ID – Disability
• MI – Accident & Health
• NM – Accident and Health or Sickness
• OH – Accident & Health
• SC – Accident Health or Sickness
• TX – Life, Accident, Health and HMO
• UT – Accident and Health or Sickness
• WA – Disability
• WI – Accident & Health

Thank you for your interest in contracting with Mutual of Omaha. To get started please complete the MOO AGA DocuSign Contract via DocuSign. Your contract will be sent to AGA and Mutual of Omaha immediately after submission for processing.

MOO AGA DocuSign Contract

After processing Mutual of Omaha will then send you a writing number, then you can begin Mutual of Omaha PDP certification by using certification instructions in your AGA back office portal under Sales Tools, My Sales Tools then Certifications.

See MOO Contracting Manual

If an agent wrote business within the past 6 months or has contracted with current upline within the past 6 months please complete a MOO Transfer Form and complete a MOO AGA DocuSign Contract.

Mutual of Omaha Transfer Guidelines

Agents can change their information is through the producer website https://www.mutualofomaha.com/sales_professionals/

Agents can change their direct deposit information is through the producer website https://www.mutualofomaha.com/sales_professionals/

Once logged in, the agent needs to click on the person in the upper right-hand corner, select Direct Deposit, then click the Update button.

View your current appointments through the producer website https://www.mutualofomaha.com/sales_professionals/

Email add state requests with a copy of your non resident license to contracting@appliedga.com and CONTRACTSANDAPPOINTMENTS@MUTUALOFOMAHA.COM. Include your name, carrier ID and NPN.

Appointment Requirements
Pre-appointment States (Pennsylvania, Montana): A party must have an effective appointment prior to solicitation. If applications are dated prior to the appointment effective date with Mutual of Omaha these applications will be rejected, and a letter will be mailed to the client. A party must have an effective appointment prior to solicitation. If applications are dated prior to the appointment effective date with OHIC, the application will be processed, and the producer will not be paid commission.
Non-Pre-appointment States: A party may solicit prior to having an effective appointment (applications may be submitted with contracting paperwork). However, the policy cannot be issued until the appointment is effective with Mutual of Omaha, or OHIC. Insurance department regulations DO require us to have producers appointed within a certain period of time after receiving applications (typically 10-15 days).

Follow online instruction for Agency and Agency Principal if your commission is being paid to a corporation or LLC you currently own.

For independent agents contracting with AGA, please:

• Have each Independent Agent visit business.hioscar.com/create-account/broker
• Enter the Independent Agent’s personal NPN
• Select, “No, I am not the principal of an agency”
• Enter the Independent Agent’s Name, Email, and create a Password
• After logging in, click on “Medicare book” in the top-right corner of the page
• Complete the 6-step checklist, making sure to:
  • Type in and select “Applied General Agency” as the FMO
• On the homepage, click on “Payment details” and fill out all forms for commissions payments to the Independent Agent

Create an account for your Agency and Agency Principal:

• Have your Agency Principal visit business.hioscar.com/create-account/broker
• Enter the Agency Principal’s personal NPN
• Select, “Yes, I am the principal of an agency” then enter the Agency Name and the Agency NPN
• Enter the Agency Principal’s Name, Email, and create a Password
• After logging in, click on “Medicare book” in the top-right corner of the page
• Complete the 6-step checklist, making sure to:
  • Type in and select “Applied General Agency ” as the FMO
• On the homepage, click on “Payment details” and fill out all forms for commissions payments to the Agency

If you are currently with a different upline, please notify contracting@appliedga.com and brokers@hioscar.com. Please indicate you are currently contracted and would like to transfer to AGA. Example: Hello, This is John Smith, NPN 123456, I am unable to obtain a release from my current upline, but I would like to transfer to AGA. Please assist me with this transfer. Thank you,

Thank you for your interest in marketing Prominence Health Plan through Applied General Agency. Prominence Health Plan uses an online contracting system and we will need some information to get the process started.

 To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it with your current year’s AHIP to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request, AGA contracting will send you a contracting link for Prominence. You will need to complete the contract and certification, then submit it for processing.

Agent Login = https://myagentworld.com

Click to Contract Option = The AGA Contract option code for 2023 is “AppliedGeneralPHP”

Prominence User Guide

To begin a transfer to AGA, log in to My Agent World and scroll to the Upline section. Press the “Request Change” button to initiate your Upline change to AGA. https://www.myagentworld.com/

Once you updated your upline to AGA email PHPMASalesGeneralMailbox@uhsinc.com & contracting@appliedga.com and notify us of your changes. If you have a letter of release from your previous upline please attach it.

Coming soon

See Direct Deposit Guide

Prominence User Guide

If adding Non-Resident State post credentialing, please use the “Contact Us” button within the My Agent World application to request the Non-Resident State

Thank you for your interest in contracting with Prosperity Life Group. You can begin your Prosperity contracting today!

Please create an account using either direct or AGA Pay.

Prosperity Direct Pay Contracting Link: Agents are paid directly by Prosperity Health.

(Not Common) Prosperity Indirect Pay Contracting Link: AGA pays you for your enrollments

Please review Prosperity’s Onboarding Guide to ensure complete submission.

For an immediate transfer with Prosperity, the Change Request Form needs to be signed by yourself and your current upline. If you are unable to obtain a signature from your current upline, you may begin a delayed six-month release. Complete the Change Request Form, check off the box at the bottom section of the Releasing Hierarchy section, and sign in the agent section.

If you are beginning a delayed-release or requesting an immediate transfer send the completed Change Request Form to contracting@appliedga.com.

Log into https://insuranceadmin.com/agent/login.php

Click Support then click Submit a Ticket. Create a Personal Information Change ticket

Log into https://insuranceadmin.com/agent/login.php

Click Support then click Submit a Ticket. Create a Personal Information Change ticket

To review your state appointments log into https://insuranceadmin.com/agent/login.php. Select Contracting then State Appointments.

To add a state appointment log into https://insuranceadmin.com/agent/login.php. Click Support then click Submit a Ticket. Create a New State Appointment ticket

If you requested an appointment in any state that we treat as pre-appointment, we have completed your contracting and appointment for that state. For all other states we use a Just-in-Time (JIT) process. Your request for contracting and appointment in that state is considered pending and will be processed only once you submit your first piece of business in that state.

Pre-Appt States:  AL, FL, GA, PA

Thank you for your interest in marketing Providence Health Plan through Applied General Agency. Providence Health Plan uses an online contracting system and we will need some information to get the process started.

 To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it with your current year’s AHIP to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request, AGA contracting will send your information to Providence, they will review and send you a workflow contracting link. You will need to complete the contract and certification, then submit it for processing. After completion Providence will send you a ready-to-sell letter.

Transfers are allowed once per year.

For an immediate transfer provide a letter of release from your current FMO. If you are unable to obtain a letter of release, please forward the emails you sent to your previous FMO requesting a release to contracting@appliedga.com, and indicate you want to move your Providence contract to AGA. Will will then reach out to Providence for further instruction.

Send changes to Randall.Castro@providence.org and contracting@appliedga.com

Send changes to Randall.Castro@providence.org and contracting@appliedga.com

Send updated license to Randall.Castro@providence.org and contracting@appliedga.com

Renaissance AGA Contracting Link:
https://contracting.mwadmin.com/Portal/AGA-Agent/?u=6187022&mgmtrep=1a4c388b-b7a0-4207-b608-70f816848c04&

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request you will receive an invitation with a link to begin contracting in a few days. Electronically complete SCAN’s DocuSign contracting paperwork which includes these items:

• Hierarchy Form
• Agent Contact Form
• Agent Agreement
• State Insurance license
• Errors & Omissions policy attestation
• Signed W-9 (current year)
• Assignment of Commissions (If applicable)

The contracting email will be from the DocuSign System like in the below example. Once contracting is completed you will need to complete your SCAN certifications within 90 days or your contracting will expire. Please see SCAN certification instructions.

AGA will then request SCAN to send you a Hierarchy Transfer From. SCAN will then email you the Hierarchy Transfer form, complete the form electronically, and this will be sent directly to SCAN. SCAN will confirm completion via email.

Transfers must be submitted by the 15th of the month for the transfer to be effective on the first of the following month. (Example: Form is received by Jan 14th, agent is effective with new agency Feb 1st).

Transfers are accepted once a year.

Not available for 10/1 to 12/1 effective dates.  To transfer to AGA for the current year’s AEP transfers must be submitted by 9/15

SCAN will then send you the Multi State contract to complete. Once completed you can then sell in the states requested.

SCAN has a Successor Agent program that provides you with the ability to transfer your book of business to another SCAN contracted agent. If your successor is not currently ready to sell at the time of death, they will then have 90 days in which to do so.

What is a successor agent? A qualified agent who will service the members in the book of business you transfer to them in exchange for renewal commissions.

When does a successor agent agreement make sense? Exiting the business or death of an agent.

Exiting the business (i.e., retirement or illness)

• • Agents transferring and receiving book of business must be in good standing according to SCAN’s contracting requirements and certified to receive renewal commissions with SCAN
  • Original agent transferring book of business must be paid directly by SCAN
  • Agents must complete Successor Agent Transfer Form
  • Annual renewal payments must exceed $5,000

Death of an agent

• • Agents transferring and receiving book of business must be in good standing according to SCAN’s contracting requirements and certified to receive renewal commissions with SCAN
  • Original agent transferring book of business must be paid directly by SCAN
  • Agents must complete Successor Agent Transfer Form prior to death
  • Annual renewal payments must exceed $5,000

Contracting link https://social.webcomserver.com/wpm/caseEditPrepare.do?&token=ho38c7t%2F5dSaLKh8cZ5hYHwlNWnyeVRfEDcvdG9qNAc%3D&tenantName=scott_white

FMO affiliation: Applied General Agency, Inc.

Complete contracting link and current year’s certifications, then S&W will send you a ready to sell letter.

Complete the S&W Affiliation Change Form and email to HPBrokerCommission@BSWHealth.org and contracting@appliedga.com

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request you will receive an Docusign contracting packet from the carrier.

After you have completed the Docusign contracting packet, you will then need to RSVP for a virtual training. Once the virtual training has been completed, you will receive a ready to sell email from the carrier.

The virtual training is only required for your initial training. Subsequent years only require an online training.

If you are unable to obtain a release, you can begin a delayed 3-month release. Email a request to be released to your current upline, Stephanie.Crandall@selecthealth.org, and contracting@appliedga.com. This starts the 3 month clock to transfer without a release. If your upline ignores your email request for a release, it still counts (this is not the same with other carriers that require that your FMO actually deny your request).

After your release or delayed release is submitted, SelectHealth will send you a Docusign contract to finalize your transfer to AGA.

Simply has the same policy as Anthem Blue Cross. Please review the updated Anthem policy https://appliedga.com/medicare-insurance-agents-resources/workflows-a-l/

If you need product information or supplies create a support ticket in your AGA portal. Click on Sales Tools > Tickets and Messages > Add New. Select subject, add your message, then click create.

IMPORTANT: Once you have completed the exam, you must send your exam certificate, AHIP, E&O, GA license, copy of Driver’s license, NPN and W-9 to contracting@appliedga.com. You must send all forms in one email to avoid processing delays.

Our team will then send your forms to Sonder, and withing 48 hours of Sonder receiving your forms you will receive a ready to sell email.

If you need product information or supplies create a support ticket in your AGA portal. Click on Sales Tools > Tickets and Messages > Add New. Select subject, add your message, then click create.

SureBridge is a carrier that offers Dental & Vision, Disability, Accident, Critical Illness, Cancer, Heart Attack, and Life Insurance products. If you are interested in contracting with Surebridge please email contracting@appliedga.com and advise us if you would like us to send you a SureBridge contracting link. Surebridge requires annual compliance training to be completed every 365 days (based on when you first complete the initial training).

To get started please request the carrier by completing our Request Form then we will email you the contracting instructions.

To transfer you will need to obtain a letter of release from your previous upline and send a new conract.

This is a Med Supp carrier that requires agents to pay for their state appointment fee to be contracted. You must be contracted prior to marketing this carrier.

To contract with UCT please note the yearly $30 membership fee plus state fees.

To continue contracting, complete the UCT contract and send the completed contract to contracting@appliedga.com

Email contracting@appliedga.com and agentservices@uct.org, indicate you are currently contracted with UCT, and would like to transfer your appointment to AGA.

https://www.uctagentshub.org/wp-login.php

https://www.uctagentshub.org/wp-login.php

Email UTC Agent Services, agentservices@uct.org, to add a state.

If you would like to contract with United American prior to writing the following appointment fees apply.

Appointment Fee

To continue contracting, email contracting@appliedga.com to confirm you are prepared to pay appointment fees for United American.

AGA will then send you electronic contracting where you can contract and pay your state appointment fee at the same time. See invitation sample: UA Invite

In addition, you will need to email contracting@appliedga.com and uainfo@amlifegroup.com with “please cancel my current writing number with (Insert Upline), but not with the state of (Insert State) as I am just transferring my appointment to AGA/Natalie Birchard.

When an agent/agency contracted with UnitedHealthcare wants to align under a new hierarchy or change channels, a Letter of Release or Notice of Intent is required unless the change results in an employment relationship with UnitedHealth Group or its affiliate or a telesales vendor contracted with UnitedHealthcare. You may only move to a contracting level equal to or lower than their current contract level and must stay at that level for a minimum of one year. Agents can only change uplines once a year and transfers will not be processed during United Healthcare’s blackout period, September 1 to December 31.

Do you have a release from your current FMO?
If you have a release, send a copy to contracting@appliedga.com and AGA will send you electronic contracting paperwork. Complete the online contracting forms and AGA will attach your release to your contracting forms. The release letter needs to be on the letterhead of your top of hierarchy, signed by their principal, specifies the producer name, and is dated within 90 days. Please reach out to United Healthcare directly if you do not know your top of hierarchy, 888-381-8581.

Unable obtain a release?
You can submit an intent to transfer request via email, and instructions are below. Once the intent to transfer request is submitted, you will be sent a letter notifying you of the date your 6 month waiting period will end before paperwork can be submitted to transfer to AGA. During that 6 month waiting period, you are able to write business with your existing hierarchy.

Applying for Intent to Transfer:
1.Submit a notice of intent to shcerts@uhc.com & contracting@appliedga.com. You must include your full name, carrier ID, and identify your new up-line in the email, Applied General Agency, 260026.
Ex: Hello, My name is John S. Doe, ID 12312. This is my notice of intent to transfer to Applied General Agency, 260026. Thank you
2. UHC Agent Onboarding will confirm receipt of the notice of intent and give you a date when your new up-line can submit a new contract for the transfer. This is also copied to your original up-line.
3. There is a six-month waiting period for a transfer from the date of your notice of intent to when a new contracting packet can be submitted. During that time, you will remain under your original hierarchy and can still sell United Healthcare plans.
– Please note, there is a blackout period September 1 through December 31 to reduce disruption during the Annual Enrollment Period.
-If you submit a notice of intent dated between March 1 and July 1 will be able to submit a new contract January 1 of the following year.
4. After the six months is up, you have 30 days to submit a new contracting packet. If it isn’t submitted in that time frame, you will remain in your current hierarchy. At that point, a new notice of intent would be required and the six-month waiting period would start over.

To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”. After you return the 5.6 Add Carrier Request, AGA will submit your add state request.

View your current non resident appointments in www.jarvis.com. At the top right click your name/corporation name to open profile. Click Licensure & Appointments. To be ready to sell you need to see a Yes next in the licensed and appointed column.

IMPORTANT UHC FEE INFORMATION:
Non Resident Fee – Agents are expected to pay non resident appointment fees. Please see fee amounts and schedules for non resident appointment fees. You will not be charged for your resident state license. Fee schedule
Admin Fees – Once contracted agents are expected to write at least one piece of business. Failure to produce one piece of business when contracted from 11/31 to 4/1 will result in a $200 to $250 fee and will result in a termination.

To remove a state appointment email uhpcred@uhc.com. Include your name, United Healthcare ID and list the states you would like to remove.

This is a direct pay carrier meaning agent commission will be paid directly to you. Your commission will be paid to you, unless you decide you would like to assign it somewhere else like your own corporation or employer. Commissions can only be assigned to another person or entity represented by a principal, who is currently contracted, licensed, certified, appointed (if applicable) in the state with this carrier. Assignor and assignee must both remain contracted, licensed, certified, appointed (if applicable) in the state for any commission to be issued. Assignment to AGA is not required.

Send the completed UHC AOC form need to sh_commissions_administration@uhc.com or fax to 866-761-9162

Or complete the UHC AOC Form via DocuSign. Upon completion a copy will be sent to sh_commissions_administration@uhc.com

Assignor = the party (individual/entity) that is assigning its commission
Assignee = the party (individual/entity) that is receiving the commission

UHC Assignment of Commission (AOC) Fact Sheet

• • • All fields on the AOC form above the Company acknowledgment must be populated; any forms submitted with an empty field will be returned.
    • The AOC form must be faxed to 866-761-9162 or emailed to sh_commissions_administration@uhc.com. The AOC form is no longer part of the agent on-boarding materials/packet.
    • The assignee, an individual or entity represented by a principal, must be contracted, licensed, certified, and appointed (if applicable) in the state in which the consumer resides and the principal must have a writing number.
    • Commissions can only be allocated in full or at 100%; no partial assignments are allowed.
    • The AOC will be effective within 10 business days of receipt of AOC form, for future commissions. AOCs cannot be applied retroactively.
    • The Assignee will receive the 1099 for payments that are assigned to them.
    • If a new Assignor writing id is issued,
      ○ A new AOC form must be submitted for that writing id.
      ○ Any AOC under previous writing id(s) will not change unless Termination of AOC and/or new AOC forms are submitted.
    • For further detail, refer to the Agent Guide on www.uhcjarvis.com.

https://agentonboarding.unlinsurance.com/Agent/OnBoardingConsent?RecruitingAgent=52Wfuo0eGEAmEMhHAx8H6g==&ContractCode=General%20Agent%20Contract%20with%20Advances

Once you begin filling out the contract, it will time out if left idle for more than 20 minutes and you will have to start over.

Please have ready to upload during the e-contract completion:

• • • A copy of your personal voided check to pay your commissions into (or a statement/email from your bank showing your name, account and routing number)
    • A copy of your personal insurance license(s) for the state(s) you will be selling our products in
    • (Note: IF you have your own agency that you are wanting to have your UNL commissions paid to instead, we require a copy of your agency voided check (and your agency insurance license)
    • Then be sure to also complete the Corporation Information (regarding your own agency and it’s FEIN) on the e-contract).
    • If you intend to sell our Life product as well, we require a copy of your AML certification*
    • The explanation(s) to the Financial/Background questions that are only answered “YES” to that can’t fit in the provided “details” box in the e-App

*Need to get AML certified? Please contact us at: agentcontracting@unlinsurance.com

Should you have questions or any issues uploading these items requested above, please email them directly to us at: agentcontracting@unlinsurance.com

See Commonwealth Care Alliance

See Commonwealth Care Alliance

Thank you for your interest in certifying with Welbe. To obtain online certification email contracting@appliedga.com and Sergio.Viana@welbehealth.com, and yasaman.torabi@welbehealth.com. Include your Name, NPN, DOB, email, phone, and upline as AGA.

Example: Hi Sergio and AGA, Please contract me with Welbe AGA. My name is Gerald Joe, NPN 123554, GIjoe@gmail.com, DOB 06/30/1942, 888-495-1945. Thank you.

Sergio will then send you an agent online contracting and certification link.

To start the release process, email contracting@appliedga.com and Sergio.Viana@welbehealth.com. Include your Name, NPN, DOB, email, phone, and upline as AGA.

Example: Hi Sergio and AGA, Please contract me with Welbe AGA. My name is Gerald Joe, NPN 123554, GIjoe@gmail.com, DOB 06/30/1942, 888-495-1945. Thank you.

You will then be sent a contracting link to complete your transfer.

• WPS Agent Contract
• Include a copy of your agent’s license(s) for every state in which you will conduct business on behalf of WPS
• Detailed explanations for any questions answered “Yes” in Section 2, if applicable

PDP plans are only available in WI. If you intend on selling PDP, the PDP certification must be completed. Either email MedicareAgent@wpsic.com for access to the PDP certification or complete the certification at http://www.wpspartdtraining.com/.

Email changes to AgentLicense@wpsic.com

Agent commission is paid by AGA

Agent commission is paid by AGA

Thank you for your interest in marketing Zing through Applied General Agency. To get started log into your AGA portal and obtain a 5.6 Carrier Request Form and send it to contracting@appliedga.com. You will find this form in your AGA portal under Sales Tools, My Sales Tools, Forms Library, then “5.6 Contracting Forms”.

Please begin certifications for Zing.

Direct Pay Registration PIN Code is: 2023ZingLasso1778

(Not Common AGA pays you for your enrollments) Registration PIN Code is: 2023ZingLasso2414

Miramar website: (https://miramar-agent.com) to the portal and access the program from your dashboard to start certification.

If an agent is logging in for the first time logging into Miramar then click “register as an agent”. Once you register as an agent, you will have to verify your SSN. Agent will then enter “Registration Code” on the main dashboard. If you have an account in Miramar already, please login as you normally would.

TIPS & Tricks: If you are using an ios (Apple/Mac) platform, please make sure that you are using Chrome and not Safari. When using Safari we have experienced instances of pages not completely loading and pages that don’t allow agents to see all of the content or to proceed through the certification. Make sure your pop-up blockers are disabled. While uploading your license, please make sure that your name on your licenses matches EXACTLY how it does in Miramar. This is important because this stage matches to NIPR.

Miramar User Guide: https://miramar-agent.com/KnowledgeBase/Article?kb=5

Miramar Knowledge Base: https://miramar-agent.com/KnowledgeBase

If you have any questions regarding the onboarding and certification process, please contact one of our Broker Support Units:

contracting@myzinghealth.com

contracting@lassohealthcare.com

There is a six-month cooling down period.