Important Notice:
Medicare Only: If selling "Medicare Only", please complete the Medicare Broker Appointment Form. Do not proceed further.
Broker Appointment Policy: Please ensure all required documentation is complete, legible and signed. If any required information is missing, incomplete or illegible, we will work with you to resubmit the application.
Broker Appointment Changes: Email broker appointment changes to Appointment@sentara.com. The Broker Appointment Form should be used for new appointments only.
Get Appointed
By starting your application you acknowledge that you have read and agree to the below requirements.
Appointment Requirements
Items below are required to complete the appointment application:
1. Virginia Life and Health License or Virginia Health License (required)
2. Agency License (if applicable)
3. Sentara Health Plans Substitute W9 (SF-W9) Form
4. Sentara Health Plans Agent/Broker Agreement (includes Business Associate and QHP Amendments)
5. Portal User Profile (access to SentaraHealthPlans.com secure Broker Portal)
6. If an agent elects to sell Medicare, they will be directed to our training site to complete required training. If training is not completed, agents will not be paid on any Medicare business.
7. We require all new agents to work with a General Agency (GA) or Field Marketing Organization (FMO). GA's specialize in Commercial and IP, and FMO's focus on Medicare only. If you do not have a preference and do not select a GA or FMO, one will be assigned to you. Below is a list of our preferred partners.
Approved General Agencies
Note: If you do not have a preference and do not select a General Agency, one will be assigned to you.
| Agency Name | Contact Name | Contact Email | Contact Phone |
| Agency NameBlue Ridge Insurance Services | Contact NameCynthia Noble | Contact Emailcnoble@brisinc.com | Contact Phone(866) 904-8383 |
| Agency NameChoice Insurance Agency | Contact NameSarah Grubb | Contact Emailsarah.grubb@choicebrokerservices.com | Contact Phone(804) 510-0743 |
| Agency NameEmployee Benefits Corporation of America (EBCA) | Contact NamePamela J Kerr | Contact Emailpakerr@ebca.com | Contact Phone(804) 290-1127 (866) 638-0504 |
| Agency NameInnovative Insurance Group | Contact NameRJ Gibson | Contact Emailrj@thinkinnovative.net | Contact Phone
(540) 613-8812 |
| Agency NameTFA Benefits | Contact NameTamara Nelson | Contact Emailappointments@tfabenefits.com | Contact Phone(757) 340-3873 |
| Agency NameBenefitMall | Contact NameBarbara Wolff | Contact Emailbarbara.wolff@benefitmall.com | Contact Phone(301) 517-4905 |
| Agency Name Amwins Connect | Contact NameTimothy Falanga | Contact Emailaca.sales@amwins.com | Contact Phone (800) 638-6085 |
Approved FMO Agencies
Note: If you do not have a preference and do not select an FMO for Medicare business, one will be assigned to you.
| Agency Name | Contact Name | Contact Email | Contact Phone |
| Agency NameChoice Insurance Agency | Contact NameSarah Grubb | Contact Emailsarah.grubb@choiceins.com | Contact Phone(804) 510-0743 |
| Agency NameCopeland Insurance Group | Contact NameAllen Pauley | Contact Emailcontracting@copelandgroupusa.com | Contact Phone(877) 619-0025 |
| Agency NameGarityAdvantage Insurance Marketing Agencies | Contact NameVictoria Bailey | Contact Emailvbailey@garityadvantage.com | Contact Phone(240) 310-8817 |
| Agency NameMySeniorHealthPlan | Contact NameVanessa Frias | Contact Emailvanessa@myseniorhealthplan.com | Contact Phone(619) 595-0937 |
| Agency NameRitter Insurance Marketing | Contact NameKatie Neubauer | Contact Emaillicense@ritterim.com | Contact Phone(800) 769-1847 ext. 219 |
| Agency Name
Tidewater Management Group | Contact NameBlake Kiss | Contact Emailblake@tidewatermg.com | Contact Phone(540) 205-9344 |