Agent Portal

Contact Information

Phone: 1-888-871-0417 (NOTE: This phone number is for Agent use only.)

Fax: 1-888-551-9101 (No enrollment forms)

Email: AgentSpecialist@GatewayHealthPlan.com (non-secure)

Secure Email: Secure Email Portal (select Agent Requests) 

Downloads

• External Sales Guide
• Sales Event Spreadsheet

Forms

• Agent Material Request Form
• ACH Form
• Assignment of Commission Form
• Enrollment Form Fax Cover Sheet
• Gateway Health^SM Physician Request Form - Single
• Gateway Health^SM Physician Request Form - Multiple
• Request for Reconsideration of Appointment – Coming Soon