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Producers

How to Become Appointed

Welcome to Group Health. We appreciate the opportunity to partner with you and we look forward to a productive relationship.

To begin your appointment process, please complete, sign, and return the documents below, along with a copy of your Washington license and proof of errors and omissions (E & O) insurance. Keep copies for your records.

Required

Master Application for Agent Appointment (PDF)
Appointment and Commission Agreement (PDF)
Please sign the signature page, complete and sign Exhibit A, and return the entire document to us.
W-9 (PDF)

Optional

ACH Authorization Agreement for Direct Deposit (PDF)
Please complete, sign and return the document as noted on the form.

Signing and returning these forms lets you act as an agent on behalf of Group Health Cooperative and Group Health Options, Inc. Please be sure that your name and address match your Office of the Insurance Commissioner (OIC) license information.

We'll contact you if any documents are missing or incomplete. Once we've received all required paperwork, we will file your application with the OIC.

Important note:
The producer appointment process takes an average of one to two weeks to complete. After your application is processed with the OIC, we will e-mail your appointment certificate to you. You're free to do business with us once your appointment is active on the OIC's licensing page.

Plus, once you're a producer appointed with Group Health, you'll be able to use our secure, password-protected site to conduct business with us online. Read about our online services.

E-mail, fax, or mail copies to:
Group Health Cooperative
Broker Operations - Agent Appointments
320 Westlake Ave. N., Suite 100
Seattle, WA 98109-5233
Fax: 206-877-0692
E-mail: brokerappt.commission@ghc.org

For More Information
Please contact our producer appointment and commission desk at 206-448-4384 or 1-800-337-3196.

Copyright Group Health Cooperative