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Checklist

  • CHC Email: Request HERE

  • E & O Insurance (REQUIRED)

  • Email Tmosley@chcquotes.com for TopBroker Access (Requested by manager at initial contracting request or via additional request link)

  • TopBroker Training

  • CMS Federal Marketplace Registration (OPTIONAL) **CMS Federal Facilitated Marketplace Certification must be sent to EACH carrier you are appointed with

IMG_1512.HEIC

CONTRACTING

Click HERE

New Agent Contracting

1

Click HERE

Finance / Change Related Requests

3

Click HERE

Additional Contracting & Carrier Requests

2

Once you complete the forms, you will receive emails from carriers. Please provide the requested information in those emails to proceed and finalize your contracting process. Additionally, if you are contracted in other non-resident states, you must complete the corresponding form as well.

*Carrier and State Contracting

4

Helpful Information

CHC Tax ID/EIN # 47-2402087
CHC NPN # 18770747
Locate your NPN #: www.nipr.com

E&O Coverage: www.360coveragepros.com/hst/eo

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