Home
About Us
Insurance Services
- Menu Content
  
  Vehicle Insurance
  Auto Insurance
  Motorcycle Insurance
  Boat Insurance
  Recreational Vehicles Insurance
  
  Residential Insurance
  Homeowners Insurance
  Condo Insurance
  Renters Insurance
  
  Business & Commercial
  Commercial Auto
  Commercial Property
  Truck & Cargo Insurance
  Liability Insurance
  Workers Compensation Insurance
  Surety Bond Insurance
  
  Health Insurance
  Obamacare – ACA Health Insurance
  Medicare Insurance
  Group Benefits
  Individual Health Insurance
  
  Life Insurance
  Term Life Insurance
  Universal Life Insurance
  Whole Life Insurance
  Living Benefits
  Annuities
For Agents
Contact Us
Get A Quote
Get A Quote

ACA Agent Contracting

Name: Pandora Insurance
Price range: $

Great news Health Insurance Agents! With Pandora Insurance, you can get your ACA health insurance agent contracting all in one convenient place. Get contracted and appointed to start selling some of the nation’s top health insurance carriers in the individual and family market.

Boost your health insurance business and start selling Obamacare plans to your clients. Complete our simple contracting form below to get started.

First, please select the carriers you are interested in below and then click next:

- Step 1 of 3

Individual ACA Carriers

Aetna ACA
Ambetter
AmeriHealth Caritas ACA
Anthem ACA
AvMed ACA
BCBS of Illinois
BCBS of Michigan
BCBS of Montana
BCBS of Oklahoma
BCBS of South Carolina
BCBS of Texas
CareSource
CHRISTUS Health Plan
Cigna ACA
HealthFirst Health Plans
Medica
Molina Healthcare
Oscar Health
Prioirty Health
UnitedHealthcare

Name *

First

Middle

Last

Information entered must match agent's license

Email *

Phone *

NPN (National Producer Number) *

Address *

Address Line 1

City

State

Zip Code

1. In the past 3 years, have you ever had a professional license refused, revoked, suspended; or, has disciplinary action been taken against you by a regulatory agency? *

2. Are you currently indebted to any insurance company or agency, or is there any dispute regarding your insurance accounts? *

3. Have you ever pled guilty or no contest or been convicted of any violation of law other than minor traffic violations? *

Signature *

Clear Signature

I hereby represent that the answers and statements (the “information”) I am providing Pandora Insurance on this application are correct, complete, and true, to the best of my knowledge. By submitting this form agent authorizes Pandora Insurance to submit a request for appointment to insurance carriers selected on the agent’s appointment request form, on Agent’s behalf. Agent agrees to complete any documentation reasonably requested by any insurance carrier. I understand that my agency may contact me when I need to answer carrier specific questions.

W9 Form