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Capital BlueCross

Contact Information


Application Submission Options

2025 Certification Information


Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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AmeriHealth Caritas VIP CareKeystone First VIP ChoiceFirstChoice VIP Care

Contact Information

AmeriHealth Caritas VIP Care

Keystone VIP Choice

First Choice VIP Choice


Application Submission Options

When filling out the enrollment application, make sure that  the correct information is in the following sections:

  • NIPR number
  • Agent broker ID — Use your insurance license number.
  • Agent writing number — Use your Rep ID number.

Use the individual enrollment request form and fax cover  sheet, found below, to send your enrollment applications, along with the Scope of Appointment Confirmation form. Fax each application one at a time.

2025 Certification Information


Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Canadian Medstore

Information

Forms & Guides

Contact Information

  • Laura Rowe- Medicare Account Executive
    • 760-579-3398
    • This email address is being protected from spambots. You need JavaScript enabled to view it.

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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