Be sure to complete all fields that apply

NEXT STEP: Agent(s) will receive via email (within 48 hours):

• SCAN Agent Contract to complete electronically, via Producer Dashboard
• SCAN Agent Portal Activation Email from SCAN@evolvenxt.com
  
  • Complete required SCAN Online Certification on portal

Questions? Contact SCAN Broker Contracting

Call: 562-989-5157

Email: scanbrokercontracting@scanhealthplan.com