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Brokers

Home /Brokers Portal

Information Last Updated: 7/29/2019

Broker Portal

Click the login button to access your Brand New Day Broker Portal

Broker Portal Login Request

Broker Support

Broker Support Department
marketing@universalcare.com
1-866-255-4795 ext 2018

Additional Benefits

Additional Benefits

Forms and Documents

Scope of Appointment English | Spanish | Chinese | Korean | Vietnamese
Enrollment Forms (2020)

CMS Form 1696 Appointment of Representation English | Spanish

Health Risk Assessment (HRA)
English | Spanish | Chinese | Korean | Vietnamese

Over-the-Counter (OTC) Order Form (2020) English | Spanish | Chinese | Korean | Vietnamese

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Broker Support

1-866-255-4795 Ext. 2018
Marketing@universalcare.com