Broker Resources

Whether you need to review a member's plan benefits, help them with interpreter services, or order more supplies, you'll find all the resources you need in this section.

• 2024 Broker sales presentation (PDF)
• 2024 Extra benefits brochure (PDF)
• Authorization for Sharing Health Information (PDF)
• Provider request form (PDF)
• Broker supply request fax order form (PDF)
• Scope of Appointment Confirmation form (PDF)
• Pre-enrollment checklist (PDF)
• Creole pre-enrollment checklist (PDF)
• Spanish pre-enrollment checklist (PDF)

Broker resources for members

• Member benefits
• Multilanguage insert (PDF)
• 2024 over-the-counter (OTC) catalog and order form (PDF)