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Employee Census Form (Excel Download)
Use to upload through Broker Portal for instant quote.
- Get instant quotes
- Estimate subsidies and see premiums that reflect those subsidies
- Review all your clients’ information for Mountain Health CO-OP direct sales
- Complete your sale
Medicare Supplement Contact information​
Questions related to applications submitted, underwriting, commission inquiries, and active member inquiries:
MOUNTAIN HEALTH CO-OP
Medicare Supplement Administrative Office
P.O. Box 2209
Duncan, OK
73034-2209
Telephone: 800-366-8354
Email: [email protected]
The contact information is also on our various documents associated with our products.
For E-Application log in assistance:
Telephone: 1-855-861-8776 (choose option 4)
Business Hours:
8:00a-5:00p (CST) M-ThÂ
8:00a-12:00p(CST) F
Messages left generally get a call back within an hour.​​
To submit new business hard copy applications:
[email protected]
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Our insurance brokers play a vital role in our success at Mountain Health CO-OP.
Although we are the newest health insurance company in Idaho, Montana, and Wyoming, we have $75 million in reserves, which gives us stability for the long term.
Consider offering your clients a more affordable option for their health insurance and join us.
To Learn More: 800-299-6080
[email protected]
Agent & Broker Compensation Disclosures
As you may know, the recently enacted No Surprises Act mandates that each health insurance broker disclose, to potential and existing customers, the direct compensation that the health insurance broker receives from a health insurance company. The disclosure is required before an individual customer finalizes their plan selection. For more information about what is required or to access the disclosure document, please see the documents attached below.