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SCAN Agent Contract Request

Be sure to complete all fields that apply – For multiple requests click here

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

  • SCAN Agent Contract to complete electronically, via Adobe Sign
  • SCAN Agent Portal Activation Email from support@scanagentportal.com
    • Complete required SCAN Online Certification on portal

Questions? Contact SCAN Broker Contracting

Call: 562-989-5157

Email: scanbrokercontracting@scanhealthplan.com

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