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We invite health insurance brokers statewide to apply to become affiliated brokers with EmblemHealth. By doing so, you will be able to offer a full range of plans to your clients.
EmblemHealth-branded plans (excluding CompreHealth) are underwritten by our company GHI (Group Health Incorporated). HIP-branded plans and CompreHealth are underwritten by our companies HIP (HIP Health Plan of New York) or HIPIC (HIP Insurance Company of New York). As such, you will note during the application process that the documents you complete reference our underwriting companies.
You can complete this application to apply to become a broker for all of EmblemHealth’s underwriting companies.
If you are unaffiliated with any of EmblemHealth's underwriting companies, we encourage you to check the "All" box on the application, rather than each individual boxes.
If you are currently affiliated with one or more of EmblemHealth's underwriting companies, please check the box(es) for the remaining companies for which you wish to be appointed.
If you only want to be affiliated with the underwriting company whose plans are sold in Western New York, check off the “GHI” box. (The Western New York counties include, Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming.)
Complete and sign two copies of the Selling Agent Agreement.
You must complete the agreements specific to the companies whose plans you’d like to sell. A fully executed copy will be returned to you.
Attach your current appropriate broker license(s). If you are applying as a corporation, include both parts of the corporate license.
Licensure Requirements for Selling GHI Underwritten Plans
If you indicate on your Application that you wish to be appointed to sell GHI –underwritten plans, please attach documentation that you hold the following licenses:
Broker licenses issued under section 2104 of the insurance law are accepted for appointment.
Agent licenses issued under section 2103(a) of the insurance law that stipulate Accident and Health accreditation are accepted for appointment.
Agent licenses issued under section 2103(b) of the insurance law that do not stipulate Accident and Health accreditation are not accepted for appointment.
Agent licenses under section 2103(b) of the insurance law are Property & Casualty licenses, and consequently are not accepted for appointment.
Licensure Requirements for Selling HIP or HIPIC Underwritten Plans
If you indicate on your Application that you wish to be appointed to sell HIP or HIPIC-underwritten plans, please attach documentation that you hold the following licenses:
A copy of your current New York State individual or corporate broker license issued under section 2104 of the insurance law, or agent license issued under section 2103(a) of the insurance law that stipulates accident and health accreditation.
A completed W-9 form.
Mail or fax the completed forms to:
EmblemHealth Broker Operations
441 Ninth Avenue, 7th Floor
New York, NY 10001
Selling Agents will become eligible to receive commission payments upon EmblemHealth's receipt and approval of the documentation noted above (i.e., upon appointment). Commission payments will be mailed on or about the 15th of each month and will be based on the premium received for the prior month.
In the event that EmblemHealth has received premium for business sold prior to the date of appointment, we will pay retroactive commissions upon appointment. However, EmblemHealth will only pay retroactive commissions for the period of up to six (6) months immediately preceding the date of appointment.
For more information about becoming an affiliated broker, please call an EmblemHealth sales representative at 1-866-614-6040.
View your EmblemHealth’s Commission Schedule for new and renewal business.