Contract Appointment Agreements

FOR ALLSTATE AGENT USE ONLY.

To become appointed with a carrier, please download the appropriate agent contract forms prior to quoting HealthPlans Services Allstate-approved dental, eye care and medical plans.

Email completed forms to sales@healthplan.com.

Dental and Eye Care Plans

Individual   Group   Voluntary Plans 

Carrier

Forms

Ameritas Group

Ameritas Agent Appointment Form 

Medical Plans

Individual  |  Group   

Carriers

Forms

Starmark

 Starmark Agent Appointment Forms- Allstate   
 

UnitedHealthOne® (Golden Rule®)

 

 
 
Carrier and plan availability vary by state and distribution.