Administrative Forms

• Assignment of Commissions
• ACH Deposit Form
• W-9
• Termination of Assignment of Commissions

Application Forms

• HealthTeam Advantage Enrollment Form PPO and HMO CSNP
• HealthTeam Advantage PPO Plan-to-Plan Change Form
• Online Health Risk Assessment Form for PPO and HMO

Marketing

• Benefits at a Glance HealthTeam Advantage PPOs
• Benefits at a Glance HealthTeam Advantage Diabetes & Heart Care HMO CSNP
• Sales Presentation (PDF)
• Fitness Benefit – HealthTeam Advantage
• Dental Health Benefits (PPO) – HealthTeam Advantage
• Dental Health Benefits (CSNP) – HealthTeam Advantage
• Hearing Health Benefits – HealthTeam Advantage
• Vision Benefits – HealthTeam Advantage
• Custodial Care Benefit – HealthTeam Advantage
• 24-hour Nurse Advice Line – HealthTeam Advantage
• Care Management – HealthTeam Advantage Diabetes & Heart Care HMO CSNP
• Personal Healthcare Concierge – HealthTeam Advantage PPOs and HMO CSNP
• Understanding Drug Payment Stages HealthTeam Advantage PPOs
• Understanding Drug Payment Stages HealthTeam Advantage Diabetes & Heart Care HMO CSNP
• Star Ratings Sheet PPO
• Star Ratings Sheet HMO
• PPO Information Book
• CSNP Information Book
• 2023 Enrollment Book
• CSNP HTA Senior Savings Model for Insulin

Co-branded Materials

When you use co-branded materials outside of those offered in the Online Virtual Storefront, please submit a final sample and publication information to HTA Marketing by email at [email protected].

• HTA Online Virtual Storefront

It’s a good idea to bookmark the Online Virtual Storefront link for easy access.

Educational Materials

• Agent Training Manual
• Agent of Record Change Policy
• Do’s and Don’ts for Medicare Meetings

HealthTeam Advantage Website 2023 Enrollment Form Link

• 2023 Online Enrollment Form

Agent Broker Application Status

• Check on Application Status

Important Resources for HTA Agents

• Resources at-a-Glance & Important Numbers for HTA Agents