IFPS Agent Pipeline Carrier Contracting RequestsContracting request for all national carriers as part of Agent Pipeline. Please call 888-541-7733 if you have any questions or email support@ifps.agencyFields marked with * are required Agency Name or Company Name This is applicable only if you wish to be contracted as an agency First Name * Last Name * NPN (National Producer Number) * Please go to: https://pdb.nipr.com/html/PacNpnSearch.html to search for your NPN if you don’t know. Email * Phone Number * State(s) Licensed In? * Please enter the states you’re licensed in.Product Area: * Health Insurance Life Insurance Medicare Group Insurance Dental Please tell us the product or services you’re interested inCarrier Contracting (ACA) requests: Aetna Ambetter Amerihealth Caritas Anthem Caresource Cigna Highmark UnitedHealthCare (UHC) Oscar Other Please check all the carriers you wish to be contracted with.Medicare Carrier Contracting Requests: Aetna Anthem Cigna Devoted Highmark Humana UnitedHealthCare (UHC) Other We represent more than 50 carriers! Please check all the carriers you wish to be contracted with or check other and type in the name of the carriers.Life Insurance Carrier Contracting Requests: Allianz National Life Group Nationswide F&G Other We represent more than 30 carriers! Please check all the carriers you wish to be contracted with or check other and type in the name of the carriers. How do you plan to grow your business? Any other comments or notes you wish to share with us Submit
