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Brokers > Become a Broker

Atlantis Health Plan understands the importance of the brokerage community in the New York City market. Brokers are encouraged to become Atlantis selling agents. NYS Insurance regulations will apply.

Agent Appointment Procedure
Broker Agreement Form
Selling Agent Agreement
Policy Broker of Record Letter (BOR)

Please submit completed paperwork along with a copy of your license to:

Atlantis Health Plan
Licensing Department
39 Broadway (Suite 1240)
New York, NY 10006