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Employers > Employer Information > Enrollment Procedure

Agent Appointment Procedure

Please use the following steps in order to become an ATLANTIS HEALTH PLAN SELLING AGENT:

  1. Complete a selling Agent appointment application form.
  2. Submit one completed and signed copy of the Broker agreement.
  3. Include a copy of your current State of New York, Insurance Department, Accident and Health Agent license or Broker's license. If applying as a corporation, include both parts of the corporate license. You must be licensed to sell health insurance in New York State.
  4. Include a copy of errors and omissions insurance minimum of $1,000,000 dollars policy coverage.
Atlantis Health Plan will be able to begin paying commissions upon completion of the above procedure. Please send the completed documents to your general agent or to:
Atlantis Health Plan
45 Broadway, Suite 300
New York, NY 10006
Att: Broker Business Unit.