Become an Agent
Interested in selling CommunityCare Senior Health Plans?
Send us an email
for information on how to become a CommunityCare agent.
Here is a list of the required documentation to become appointed with us for Medicare Advantage.
Send us an email
so we can get you started on the appointment process and we will be happy to provide
you with all the required forms and answer any questions you may have.
- Copy of your Oklahoma Health/Life Insurance License(s)
- Copy of your Errors and Omissions Declaration Page
- Copy of your AHIP Training Certificate
- Agency/Producer Appointment Application *
- Agency/Agent Agreement - Medicare *
- HIPAA Business Associate Agreement - Medicare *
- W9 Form *
- Authorization Agreement for Direct Deposit Payments *
AHIP Certification
Complete your AHIP certificate with CommunityCare at a discounted rate! Agents who complete their AHIP certification through the CommunityCare link will no longer be required to send in a physical copy of their AHIP certificate.
CommunityCare AHIP Certification
Agents who complete their AHIP certification through the CommunityCare link will no longer be required to send in a physical copy of their AHIP certificate.