Forms and Guides for Brokers

Find MNsure-certified broker forms here including MNsure paper applications, account request forms and more.

Applications

Miscellaneous Forms

Broker Case Status Request Form (Excel)
Federal Tax Information (FTI) Form (PDF)
Employer Health Coverage form-Appendix A (PDF) (for employees who enroll in individual coverage and whose employer offers small group coverage)

Report a Change

Special Enrollment Periods