You’ve got questions.
We’ve got answers.
Use our appointment scheduling tool to get in touch with a specialist quickly and easily.
They will help you find the insurance that is right for you.
The forms below are to help you establish an account once you are ready to enroll in the marketplace.
BeWellnm Paper Application
BeWellnm Confidentality Statement
BeWellnm Consent Fillable Form
BeWellnm Fillable Consent (Spanish)
Marketplace Account Information
NMHIX ACH Form for Premium Payments (PDF)
NMHIX-ACH-Form-for Premium Payment (Word)
YesNM Account Information
Employer Coverage Tool – Worksheet