Texas Broker Appointment

Appointment Paperwork

Below is a list of items needed to complete a formal Broker Appointment with Prominence Health Plan:

You must also provide a copy of the broker or agency health license for the state of Texas.

Return all completed forms and Texas license copy to:

Prominence Health Plan
Attn: Sales Department
1510 Meadow Wood Lane
Reno, NV 89502
FAX 775-770-9367

Please contact [email protected] or call 888.840.9080 if you have questions relating to broker appointment.