Forms and Guides for Brokers

Agent of Record Designation (AOR) Form

• 2017 Individual Plan AOR form (online)
• 2017 Individual Plan AOR form (PDF)
• 2017 Individual Plan AOR Fact Sheet and FAQ (PDF)
• 2016 Individual Plan AOR form (PDF)
• 2016 Individual Plan AOR Fact Sheet and FAQ (PDF)

Applications

• Application for Health Coverage and Help Paying Costs - DHS-6696-ENG (PDF)
• MNsure Application for Health Coverage - DHS-6741 (PDF)
• Account Request form (PDF)

Miscellaneous Forms

• Broker Case Status Request Form (Excel)
• Employer Health Coverage form (PDF) (for employees who enroll in individual coverage and whose employer offers small group coverage)
• MNsure Consumer Online Account tracking form (PDF)

Manuals and Guides

• 2017-208 Agency Notice of Intent Registration and Agent/Broker Certification Guidebook (PDF)

Report a Change Online

• Report a change online
• How to use the online reporting forms

Small Business Forms and Guides

Find small business forms and guides in our SHOP section.

Webinar Slides

• Broker Experience Survey Results and Improvements to the Assister Portal April 2017 (PDF)
• Open Enrollment 2017 AOR Update November 2016 (PDF)
• Enrolling in coverage outside of Open Enrollment February 2017 (PDF)
• Tax Season Topics March 2017 (PDF)
• Issues in Calculating Household Income June 2017 (PDF)
• Reporting Life Events July 2017 (being updated)
• Open Enrollment Updates, Certification and Recertification, and Assister Assemblies August 2017 (PDF)