- Professional Photo of yourself (tif or gif file size 200x166)
- Biography limited to 160 characters
- List of Counties you serve within New Mexico
- Languages other than English that you conduct business in.
- Type of coverage you are interested in selling: individual only, small business only or both
Note: If you have selected “small business only” or “both” we will send you a link to additional training for our small business platform.
Once you have completed the Federally Facilitated Marketplace (FFM) training, registered with beWellnm to be on our website, and have been appointed by the carriers you are now ready to enroll customers. We also hope you’ll stay in touch with us by subscribing to our broker newsletter. And to explore how we can help you develop your book of business, visit our Marketing Tools page.
Start enrolling clients now!
Other small business resources:
The Broker of Record form is necessary for a Broker to be put on a Small Employers Group to act on behalf of that Business
and its interest in our Small Business Health Options program.
This is a fast and convenient way to obtain a quote on how much it will cost your company to enroll in our Small Business
Health Options program.
- Small business enrollment form
We know that occasionally an employer or employee may not have access to technology. That’s why the Employee Enrollment Form was designed to allow the administrator or broker to gather the needed information from the employee and manually enter the information into the beWellnm Small Business Health Options system when they are adding a new employee or making a change for an employee.
- 2019 New Business Implementation Timeline
An enrollment timeframe for small businesses new to beWellnm, which includes what needs to be done, when coverage will begin, and other important dates.
- 2019 Renewal Business Timeline
An enrollment timeframe for small businesses renewing with beWellnm, which includes what needs to be done, the effective date for renewal of coverage, and other important dates.
- Tax Credit Worksheet