Licensing Requirements Flyer

Dear Agent:

We are excited that you have chosen to promote Neighborhood Health Partnership (NHP)! Be sure to ask your marketing representative for details specific to NHP’s NCQA Rating, Department of Insurance Customer Satisfaction Rating, NHP’s Membership Statistics in South Florida, and our terrific compensation package.

Before we can get started, we need you to take a moment to complete the enclosed documents so that we may appoint you with the state of Florida. Be sure to call your marketing rep if you have any questions and “Welcome to the Neighborhood”!

Please complete the following documents:

Producer’s Compensation Agreement

Fill out the Application for Appointment: you must fill out the “individual” appointment section…not the “agency” one.

Absolute Compensation Agreement: complete only if you intend to assign your commissions to an agency. (Make sure notary date and signature date are the same.)

Attach a copy of your Florida Department of Insurance license

W-9 Form

Privacy Disclosure Agreement

Please note that these are legal documents, therefore, dated signatures are required. The date the documents are signed must match the date the documents are notarized.