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Contracting Time!

Contracting Checklist

CHC Email: Request Here

E & O Insurance: Required

Request CRM Access Here

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

New Agent Contracting

Additional Contracting & Carrier Requests

Finance / Change Related Requests

*Carrier and State Contracting

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.

*CHC TIP*

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

E&O Coverage: https://www.360coveragepros.com/chc/errors-and-omissions

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