Submit your agent’s information and requested contracting terms in one place.
Once approved, the agent will receive an email at the address provided with a DocuSign link to complete all corresponding contracting paperwork.
Enter the agent’s commission for each plan in dollars per employee per month (PEPM).
If you’re unsure of your agency’s contracting terms, please reach out to the AffordaCare team.
Please review the contact information and commission terms before submitting. Submitting a request does not confirm contracting approval.
