Contact Us
Send Us a Message
Please complete the Contact Form and we'll be in touch.
The data on this form is submitted and transmitted via a secure connection
Please print the Producer Appointment Application and send it back as an Attachment to Contracting@prinsuco.com
or
Fill out the form below with the following information :
1. Name (as it appears on your insurance license).
2. National Producer Number (NPN).
3. Social Security Number (If contracting with Molina Healthcare).
4. Specify which states you want to get appointed in:
AZ, AK,CA, FL, GA, IL, IN, KS,MS, MO, NV,NH, NY, NC, OH, PA, SC,TN, TX, WA.
5. Specify which companies you want to get appointed with:
Ambetter, Molina, BCBS, OSCAR, Humana, Wellcare, Cigna, Aetna, UnitedHealth.
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Premier Insurance Contracts, Inc
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16750 Hedgecroft Dr. STE 500Houston, TX 77060
- Map and Directions
- Phone: (832) 850-6873
- Fax: (832) 201-7768
- www.prinsuco.com
- contact_us@prinsuco.com