McLaren Health Plan
Agent Toolkit

Agent Toolkit

What's on this page

• Agent Appointment Documents
• Sales Information
• New Group Submission
• Off Exchange Individual Enrollment
• Additional Documents
• Pharmacy

Agent Appointment Documents

• Agent Agreement
• Commission Payment Designation Form
• W-9 Form

Sales Information

• 2023 Products at a Glance
• Hospital List- List of McLaren Health Plan Community Hospitals
• Find a Provider
• Service Area Map - A color map that highlights the counties in Michigan that represent the approved service area for McLaren Health Plan Community
• Underwriting Guidelines - Small Group
• Underwriting Guidelines - Large Group
• Underwriting Guidelines - Medicare Supplement

New Group Submission

• Large Group Sold Checklist
• Small Group Sold Checklist
• Large Group Enrollment & Coverage Agreement
• Small Group Master Contract
• Small Group Pediatric Essential Health Benefit Acknowledgement
• Group Enrollment and Change Form
• Employee Waiver Form
• Group Status Verification Form
• Group Underwriting Roster Payroll Register
• Member Deductible Credit Request Form

Off Exchange Individual Enrollment

• Individual Application (2023)
• Individual Change Form (2023)
• Individual Pediatric Dental Attestation
• Individual Plan HMO Member Handbook

Additional Documents

• Enrollment Change Form
• Employee Waiver Form
• Community Group Admin Manual
• McLaren POS Large Group Member Handbook
• Glossary of Health Coverage and Medical Terms

Pharmacy

• Formulary Lookup - Large Group
• Quick Formulary Guide - Large Group Community
  
• Formulary Lookup - Small Group and Individual
• Quick Formulary Guide - Individual and Small Group