2025-04-29
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Welcome to the District's Health Insurance Marketplace
Call Customer Service
1-855-532-5465 / TTY: 711
General Agency
General Agency Staff
General Agency Registration
Personal Information
First name *
Please provide a first name.
Last name *
Please provide a last name.
Date of Birth *
Please provide a date of birth.
Email *
Please provide a email address.
NPN *
Please provide a NPN.
General Agency Information
Legal Name *
Please provide a legal name.
DBA
FEIN *
Please provide a valid FEIN.
Practice Area *
Select Practice Area
Individual & Family Marketplace ONLY
Small Business Marketplace ONLY
Both - Individual & Family AND Small Business Marketplaces
Please select a practice area.
Select Language(s)
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Turkish
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Xhosa
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Office Location
Address *
Please provide a valid address.
Kind *
Primary
Mailing
Branch
Please select an address kind.
Address 2
City *
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State *
SELECT STATE
AK
AL
AR
AS
AZ
CA
CO
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DE
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GU
HI
IA
ID
IL
IN
KS
KY
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MD
ME
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ND
NE
NH
NJ
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OR
PA
PR
RI
SC
SD
TN
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UT
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VT
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WI
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Zip *
Please provide a valid zipcode.
Phone
Area Code *
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Number *
Please provide a valid number.
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