','' ); } ?>
BenaVest Logo

BenaVest Agent Contracting

Welcome Benavest Agents! Please find the instructions for contracting with your requested carriers below.

ACA Carriers

BlueShield CA

Producer Agreement

-Read and complete the attached Producer Agreement. Sign, date and return pages 12 and 19 of the Producer Agreement.
-Review the 2021 commission schedule
-Check out our FAQs to answer some of the most commonly asked questions from brokers regarding the commission schedule.

California Life Agent License

  • Include a copy of your California Life-Only and Accident & Health agent licenses and Errors & Omissions Insurance Certificate.
  • The expiration date must be more than 30 days from the date your paperwork is received by Blue Shield.

Note: The agent or company applying must be noted on the California Life Agent license, and there should be no restrictions on the license.

Direct Deposit

  • Complete and return the attached Direct Deposit Authorization Form Blue Shield of California is now paying commissions exclusively through Electronic Funds Transfer (EFT), and your appointment cannot be completed without this form.

Paperwork

  • Read and complete the attached W-9 form

Additional forms to complete

  • Return all required documents by email or mail:

                   Email:     [email protected]

                   Mail:      Blue Shield of California

                                 P.O. Box 2630

                                 Lodi, CA  95241-2630

                                 Attention:  New Appointment Desk

Friday Health Plans - AZ, CO, GA, TX, NC, NM

Request email invite here:

 

HCSC (BCBSIL, BCBSTX, BCBSMT, BCBSNM, BCBSOK)

All States (check the states you are requesting contracting for) 

 

Health Alliance - IL, WA

Please follow the online instructions here.

Select “I would like to be appointed under an existing agency.”

Copy and paste the agency information:

Agency Name: Illinois Health Agents DBA Independent Health Agents
Agency Phone: 3127266565
A
gency Fax: 8472209280
Agency Mailing Address:
3501 N Southport Ave #207
Chicago, IL 60657

 

Kaiser Permanente - CA, CO, GA, WA

Email [email protected] with copy of agent license asking to be appointed under the agency, cc [email protected] 

COPY AND PASTE INTO EMAIL:
“Hello, I would like to be appointed under Illinois Health Agents, tax ID 27-0622041 for the following states: “

Medica - IA, NE, KS, MN, ND, SD, MO, OK, WI

Request email invite here:
https://forms.gle/wwnAxHkcnSS12Wz77

Quartz Health - IA, IL, MN, WI

Request email invite here:
https://forms.gle/wwnAxHkcnSS12Wz77

Off Exchange Carriers

National General (Recommended)
IHC

Please fill out this form and return by email to [email protected]

Commission:

STM: 20% 

Dental: 20%

Critical Illness: 30%

Metal Gap: 35%

 

Lifesecure
New Era Health Plans

 

Email rep name, email, phone, states, NPN

 

 

Pivot Health

Complete online: Pivot Agent Contracting

Dental & Vision

Ameritas Dental & Vision

Please fill out this online form:

Commission Schedule

  • Year 1: 30%
  • Years 2+: 2%

 

National Dental Care

Complete online here.

Make sure to enter the password: “AGENT

Contact Information

iHealth Contracting
[email protected]

Ameritas Dental & Vision
[email protected]
BlueShield CA

Friday Health Plans
1-844-270-7075
BCBSIL, BCBSTX, BCBSNM, BCBSOK
(888) 313-5526
Health Alliance
[email protected]
HealthNet
1-800-909-3447, option 1 for brokers
IHC
[email protected]
Kaiser Permanente
[email protected] 
Lifesecure
[email protected]  

National General
[email protected] 
New Era Health Plans
[email protected] 
Pivot Health
[email protected]