Get Appointed with CGHC

We pride ourselves on being a local carrier and look forward to partnering with Wisconsin agents.
Please note, you must reside in Wisconsin to acquire an appointment with
Common Ground Healthcare Cooperative.

New Agent Appointment Requests: The following forms must be returned with your complete application –
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• • • Broker Form

    • Signed broker agreement

    • Application background questions

    • Signed Authorization for Consumer Reports 

    • Copy of WI Insurance License

    • Copy of E&O Language

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Please submit all forms to sales@commongroundhealthcare.org and allow up to 30 days for processing.