Complete the fields below to request a Direct to Wellcare sales broker contracting invitation.

Please note:
  • This sign-up form is to contract as a Direct to Wellcare broker only. You will not be part of an agency's downline hierarchy.
  • To contract under an agency, contact the agency so they can invite you to contract as a downline broker to them.
  • You're required to enter your NPN, email address, and SSN. All the data is securely encrypted and complies with HIPAA regulations.
  • For assistance, please contact Wellcare Broker Support at (866) 822-1339