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CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Become a Medicare Agent

Interested in selling CommunityCare Senior Health Plans?

Send us an email for information on how to become a CommunityCare agent.

Here is a list of the required documentation to become appointed with us for Medicare Advantage. Send us an email so we can get you started on the appointment process and we will be happy to provide you with all the required forms and answer any questions you may have.

  • Copy of your Oklahoma Health/Life Insurance License(s)
  • Copy of your Errors and Omissions Declaration Page
  • Copy of your AHIP 2021 Training Certificate
  • Agency/Producer Appointment Application *
  • Agency/Agent Agreement - Medicare *
  • HIPAA Business Associate Agreement - Medicare *
  • W9 Form *
  • Authorization Agreement for Direct Deposit Payments *
* we will provide the required form
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