AICI: Anthem Insurance Company, Inc
Agent Contracting

This link is for brokers requesting appointment with Anthem Insurance Company, Inc. (AICI) to sell Medicare Supplement products in the State of Ohio.  AICI requires all advisors to be contracted prior to submitting their first piece of business. AICI has three different links depending on the structure of your agency, and how you want to get paid.  Please read the descriptions carefully, and choose the most appropriate contract for your situation. 

Agent Contracting 

CLICK HERE for Agent Contracting 
Broker/ Producer who doesn't work under an agency and/or commissions are paid directly to the Broker/ Producer. 

IMPORTANT: Please include the GA name in Section 4: BrokerNet, Inc., GA code: 31-1627358

You will also need to attach a copy of your license and current E&O. 

Agency Sub-Agent Contracting 

CLICK HERE for Agency Sub-Agent Contracting 
Broker/ Producer who works under an agency and commissions are paid to the agency. 

IMPORTANT: Please include the GA name in Section 4: BrokerNet, Inc., GA code: BKNO 

You will also need to attach a copy of your license and current E&O. 

Agency and Principal Contracting

CLICK HERE for Agency and Principal Contracting 
Principal/ Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet 

IMPORTANT: Please include the GA name in Section 4: BrokerNet, Inc., GA code: BKNO 

You will also need to attach a copy of your license and current E&O.