Phil-Am Insurance Agency

Add a New Contract

Already contracted with Phil-Am? Submit your request to get appointed with additional carriers. Enter your NPN and we'll auto-fill your information.

1 Look Up Your Information

Enter your NPN to confirm your information from your producer record.

National Producer Number (NPN)*

Please enter a valid NPN (6–10 digits).

2 Confirm Your Information

Make sure this is correct. If anything has changed, please update it before submitting.

Producer Record

You're currently appointed with

First Name*

Required.

Last Name*

Required.

Email*

Please enter a valid email.

Phone*

Required.

Resident State*

Required.

3 Carriers You'd Like to Add

Select the lines of business and specific carriers you'd like contracts for. You can request multiple at once.

Lines of Business*

Medicare ACA Ancillary Life

Pick at least one line of business.

Medicare Carriers

Aetna Humana UnitedHealthcare Wellpoint (Anthem) Devoted Health SCAN Health Plan Verda Wellcare Cigna KelseyCare Advantage BCBS Other (specify below)

ACA Carriers

Aetna CVS Health Ambetter Oscar Molina Cigna BCBS Other (specify below)

Ancillary Carriers

Manhattan Life ACI GTL Mutual of Omaha Other (specify below)

Life Carriers

Mutual of Omaha TransAmerica Trinity Life Foresters Americo Other (specify below)

Additional Notes / Other Carriers (optional)

For active Phil-Am agents only. By submitting, you authorize Phil-Am to initiate carrier contracting on your behalf.

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Request Received!

Thanks, . We've received your contracting request and a confirmation has been sent to .

Our team will review your request and send your carrier contracting invite within 1 business day.