Welcome Agents

Thank you for your partnership with Network Health. On this page, you'll find tools and resources to help you manage your business and quickly and easily distribute information to your clients. Our goal is to provide valuable resources to help you increase your productivity and bottom line.

As always, reach out to your account executive with feedback or questions. View our sales team contact information for a current list of phone numbers and emails for account executives, client managers, agent advisors, sales advisors and more.

Individual/Group Agency Portal
Log in to our agent portal for access to several online tools

ICM Agency Commission Portal
Portal for agency principle to see commissions

Forms and Resources 

Medicare Advantage

Assure Forms and Resources

Assure Agent Portal

Individual Plan Forms and Resources

Individual and Family Plan Agent Portal

Network Health ACA Enrollment Site

Group Plan Forms and Resources

Group Agent Portal

2023 Large Group HMO Plan
2023 Large Group HMO Plan Value Product
2023 Large Group POS Plan
2023 Large Group POS Plan Value Product
Application 51 to 100
Common Ownership Certification
Coordination of Benefits Form
Electronic Funds Transfer Form
Eligibility Certification
Employer Data Form
Employer Group Application
Membership Application and Change Form
Membership Application and Change Form - Hmong
Membership Application and Change Form - Spanish
Mid-sized Group Submission Checklist
Quoting Process
Small Employer Uniform Employee Application OCI 26-501
2022 Large Group HMO Plan
2022 Large Group HMO Plan Value Product
2022 Large Group POS Plan
2022 Large Group POS Plan Value Product