Broker Website Registration
Website registration gives you access to the full site, allows you to get answers for your clients about coverage and eligibility, provides sales support tools, and more. To properly access the full site, please ensure Brokerage/Agency Firms contract with Health Net first, so that your individual brokers and consultants can register for the site and be properly associated to the correct firm.
Please select one of the navigation options below to get started.
I Have a Valid Health Net Broker ID
Registered brokers can log in anytime to access sales information, create quotes, edit existing groups, or contact Health Net with questions. In addition, you can access your commission statements, request commissions information via e-statements, elect electronic commission payments, and much more.
Submit your registration by completing the form below to get the process started.
To register by mail, email or fax, you can download printable PDF forms from the box on the right.
(If your address is outside of CA, AZ, OR, or WA, you will need to register using the printable PDF and will need to send it in by mail, email or fax only.)
To ensure the security and protection of your firm's Web account, Health Net requests that the owner, president or appropriate vice president complete this form.
Mail or Fax
To register by mail or fax, download one of these forms: