MVP Broker Paperwork

MAIL, EMAIL OR FAX COMPLEED FORMS: to MVP NH SALES
Mail: MVP Health Care - One Club Acre Lane, Bedford, NY 03110;
Email: NHSales@MVPHealthcare.com Fax: 603-647-9607.

*Please write clearly on all faxed forms. This will ensure correct loading of information.

MVP General Policies and Administrative Guidelines (new info 10/07)

Broker Checklist (Overview of required documents)

Questionnaire (General information on your agency) (updated 10/07)

Check Remittal (Tells MVP how you want to be paid)

Two Contracts (#15, #16) (Sign & Date BOTH contracts)

W-9 (Please fill out and send with documents)

Remember to include your Agency's Liability Insurance, your Broker Liability Insurance (for individual brokers) and your NH Broker License for any producing broker rep.

After you become an MVP Broker, you will receive an email with your password and login information that will allow you to monitor and make some changes to your MVP group(s) on line using the employer website at www.mvphealthcare.com. If you do not have your password to access the employer website, please contact our Broker Relations Department at 1-888-819-2132, OPTION #2.