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Baptist Health Plan Contracting Documents: Licensed KY Residents

Attention agents: linked below are important Baptist Health Plan Contracting documents. To become an appointed agent or consultant with Baptist Health Plan for commercial group or individual products, agents must complete and return the items linked below to the address provided. NOTE: Agents who are currently appointed to sell group products are not required to re-contract for individual products.

Mail documents to:

Baptist Health Plan
Attn: April Meredith
2001 Lake Point Way
Louisville, KY 40204

Please contact April Meredith with any questions at April@agent-link.net or 502-245-1371 x 1207

Contracting documents for Licensed KY Residents

  • Licensed KY Resident Checklist 
  • 8302 Form
  • W9 Request
  • W9 Form
  • General Agent Info 

Filed Under: Agents, Baptist Health Plan, Compliance, Group Health, Health Insurance, News and Updates, Taxes

Previous Post: « Stay PPACA Compliant with Minimum Essential Coverage
Next Post: Baptist Health Plan Contracting Documents: Licensed KY Non-Residents »

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AgentLink Kentucky Office
2001 Lake Point Way, PO Box 23570
Louisville, KY 40223
Toll Free: 800.960.1371
Direct: 502.245.1371
Fax: 502.245.0978

AgentLink Indiana Office
3077 East 98th Street, Suite 135
Indianapolis, IN 46280
Toll Free: 866.462.9067
Direct: 317.569.8490
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