You are registering for an account in California - Click here to change
Registration gives you access to the full site, allows you to get answers for your clients about coverage and eligibility, provides sales support tools, and more. To properly access the full site, please ensure Brokerage/Agency Firms register first, so that your individual brokers and consultants can register for the site and be properly associated to the correct firm.
Please select one of the options below to get started.
With your Health Net Broker ID, you can log in anytime to access
sales information, create quotes,
edit existing groups, or contact Health Net with questions.
After completing this online form, please print and fax to Health Net's Broker Services at (916) 935-4500 .
You may also download a PDF by clicking the "DOWNLOAD PDF FORM" button to the right.
Fill out this form with a blue or black pen and fax to the number listed above.
To ensure the security and protection of your firm's Web Account, Health Net requests that the Owner,
President or appropriate Vice President complete this form and fax to Broker Relations at (916) 935-4500
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.