Find out the required materials to appoint your company/agency. View, or download the CCHP Agent/Broker & Business Associate Agreement to learn more.
Broker Appointment Package

Broker Appointment Package
Thank you for your interest on getting appointed with CCHP
To appoint your company/agency please download CCHP Agent/Broker & Business Associate Agreement and provide the following materials:
CCHP Agent/Broker & Business Associate Agreement
2. Page 13 of the CCHP Brokers/Agent Agreement
3. Page 10 of the CCHP Business Associate Agreement
4. California States License
5. W9 Form
6. E & O Cert
7. Covered CA Cert # if applicable