Welcome!
We know we’re in a competitive market. That’s why we work hard to give our brokers competitive, timely quotes for innovative health coverage solutions that keep employers happy and members healthy. With Lovelace Health Plan, you can count on easy administration, great benefits for your clients, outstanding customer service and local access – backed by the comprehensive care resources of Lovelace Health System.
Agent/Broker Appointment and Licensing Instructions
Click here to download our Agent/Broker Appointment and Licensing Instructions. Please follow these steps to get appointed with Lovelace Health Plan & Lovelace Insurance Company.
To complete your appointment with Lovelace Health Plan and Lovelace Insurance Company we’ll need several documents:
- Step 1: If you have a New Mexico Insurance License, proceed to step 2. Otherwise, complete the New Mexico Division of Insurance Form 210. Send it directly to the Department of Insurance.
- Step 2: Complete and submit the one-page Lovelace Producer Appointment Application.
- Step 3: Complete and submit the signed Taxation Identification Number and Certification Form (W-9 Form). This is required for IRS reporting. The address you report on your W-9 is the same address where commission checks will be mailed. If you change addresses, you will need to submit an updated W-9 from.
- Step 4: Submit a copy of your New Mexico Insurance license and a copy of your firm's license (if applicable).
- Step 5: Submit a copy of the declaration page from your Errors and Omission policy (Certificate of Liability). All brokers are required to carry a $50,000 per occurence and $250,000 annual aggregate policy.
- Step 6: Complete the Lovelace Broker Agreement. Note: The contracting entity should be either you personally if commissions are payable to you under your social security number, OR your firm if commissions are payable to the firm. The firm must be licensed in New Mexico.
RETURN COMPLETED FORMS AND COPIES TO:
MAIL: FAX: E-MAIL:
Juanita Jennings Attn: Juanita Jennings broker.relations@lovelace.com
Broker Relations Coordinator (505) 727-9287
Lovelace Health Plan
4101 Indian School Road NE
Albuquerque, NM 87110
If you have questions about this process or the documents required, please contact Juanita Jennings at (505) 727-5664 or by email at Juanita.jennings@lovelace.com.
As an appointed agent with Lovelace, you have the opportunity to sell ancillary dental products through the partnership that Lovelace has with United Concordia (UCCI). You must be appointed with UCCI, in addition to being appointed with Lovelace. If you would like to sell these products and are not already appointed with UCCI, please complete their appointment paperwork and send it directly to United Concordia.
