I'm a Broker

Welcome! We are glad that you are interested in our Medicare Supplement Products. See below for additional plan forms, brochures and informaton on how to get contracted.

Effective 3/1/2024 - 2/28/2025 Indvidual Medicare Supplement Pre-Sale

• Application for a Medicare Supplement Policy (PDF)
• 2024 Outline of Coverage (PDF)
• Automatic Bank Draft Form (PDF)
• Disenrollment Form (PDF)
• Health Net Medigap Plans Pre-Enrollment Guide (PDF)
• Choosing a Medigap Policy (PDF)
• 2024 Medicare Supplement Guaranteed Issue Guide (PDF)
• Medicare Supplement Replacement of Coverage (PDF)
• Optional Standard PPO Dental Brochure (PDF)
• Optional Standard PPO Dental Plan Application (PDF)
• Healthy Discount Brooklet (PDF)
• Acupuncture and Chiropractic care (PDF)

Broker Reference Materials

• How to read your Commission Statement - English (PDF)
• Commission Rates (PDF)

Note: If you are interested in also selling Medicare Advantage Products, visit our Medicare Advantage website.

After you receive the ready to sell notification email from Health Net, you are now able to create an account through our Broker Portal to view your book of business and commissions statements.