• Agent Registration

Agent Registration

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Thank you for choosing to be appointed with FHCP. We will need the following forms completed and signed:

• Broker Application
• W-9 Form

We will also need the following documentation to complete your appointment:

• Copy of Errors & Omissions Coverage
• Copy of Valid Florida Insurance License

For a copy of our Broker Agreement, please contact us at 386-676-7110. This Agreement will need to be completed and submitted prior to appointment.

Please send all of the necessary items listed above to:

Florida Health Care Plans
Marketing Department
1340 Ridgewood Avenue
Holly Hill, Fl 32117

Request a Quote

If you would like to quote FHCP products to your clients, you can begin by reviewing the materials in this broker portal. You can also get more information by completing the contact request form below. We are happy to provide you with a quote. Once you have sold your first piece of FHCP business, please complete the forms listed in this section and send them to us. We will be happy to appoint you with the Department of Insurance at no cost to you. If you have questions about these forms or your current appointment with FHCP, please don’t hesitate to contact us at 386—676—7110.

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