Skip to content
Call Us: 402.330.8700
Home
Who we are
What We Do
Individual Health
Group Benefits
Split Cases/Client Referral
Medicare
Life, Disability, LTC, Annuities
Resources
OCI Experience Summit
Videos/Webinars
Circle of Excellence Incentive Program
Agent Bonus Programs
Compensation Disclosure
Our Staff
Our Staff
Join Our Team
Partner With Us
Login
Search for:
Individual Contract Request
Home
/
Individual Contract Request
Are you currently partnered with OCI?
(Required)
Yes
No
Not Sure
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Which states would you like to contract for
(Required)
IA
KS
MN
MO
NE
OK
IA Carriers
(Required)
Medica
Oscar
Select All
KS Carriers
(Required)
Ambetter
Cigna
Medica
Oscar
Select All
MO Carriers
(Required)
Ambetter
Cigna
Medica
Oscar
Select All
NE Carriers
(Required)
Ambetter
BCBS of Nebraska
Medica
Oscar
Select All
OK Carriers
(Required)
Ambetter
BlueCross BlueShield
Friday Health
Medica
Oscar
United Healthcare
Select All
MN Carriers
(Required)
Medica
Select All
Are you submitting this request for yourself or on behalf of someone else?
(Required)
Myself
On behalf of someone else
Submitter Name
(Required)
First
Last
Page load link