UBA GAP CONTRACTS

Scroll below and pick your contracting path and upload all licensing paperwork back to us.

QUESTIONS? 

CALL 800.964.8331 ext 202

Pick a Contracting Path Below

Download Contracting Paperwork for GAP

DOWNLOAD GAP CONTRACTING KIT
(Agents Paid by Healthy America and Agencies) 

Download the contracting paperwork. This paperwork is for all agents & sub-agents that Healthy America is paying including Agencies. You can sign from your computer and then save the file to your computer to attach when you upload to licensing. If you don't already have a commission schedule, contact Kathy Rojas at 800.964.8331 ext 202 - or CLICK HERE.

Download Gap Sub-Agent One-Check Contracting Paperwork Kit

DOWNLOAD GAP CONTRACTING KIT
(Agencies Using One-Check: use for Sub-agents) 

Download the generic one-check sub-agent contracting paperwork. If you are an agency, you can input your information into the SPONSOR section and then save it to your computer. You want to make sure you are handing out this paperwork set to all sub-agents if you will be paying them. Questions on one-check sub-agent paperwork, call Kathy Rojas at 800.964.8331 ext 202.

Download contracting paperwork for UnitedHealthcare to sell UBA STM 5K & 10K UHO Plans as well as all their other product lines through our regular broker channel outside of Gap

DOWNLOAD UNITEDHEALTHcARE
CONTRACTING PAPERWORK 

Download the UnitedHealthcare contracting paperwork for both selling UBA STM 5K & 10K - UHO plans as well as any other UnitedHealthOne product available through our regular broker channel outside of Gap. If you are not already appointed with UnitedHealthcare or haven't written in the last 6 months, you can download the contract below. Any questions or for a commission schedule for all products as well as the UBA STM product, call Kathy Rojas at 800.964.8331 ext 202 - or CLICK HERE.

Upload any and all licensing paperwork and supporting materials using this secure, encrypted email upload that goes directly to the licensing department

UPLOAD all contracting
& licensing paperwork 

Upload the contracting paperwork, licenses, license renewals, additional states requested, commission schedule(s) (if applicable) and anything needing to go directly to the licensing department. This is a Secure, ecrypted email upload (attachments only are encrypted). Once we receive your contracting paperwork, it will be processed and we will notify you (via email) with an agent number and a new agent sales kit including your unique link once your appointments are completed.

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