Agents

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Molina Agents

W-9

Molina EFT

Transferral Form

Aetna Agents

You need to follow the instructions below and in the contract will need to list Righter Insurance as your agency.

  1. Go to: https://www.ainsight.com/nomoreforms/logon?type=insurance.
  2. Fill out the top box if you are registering for the first time, or fill out the bottom box if you are a returning applicant.
  3. Be sure to fill in the following information:
    • Client Package Code – X23HFPAG4
  4. Use your SSN only even if you have a Tax ID
  5. Once logged in, you need to complete every document that says incomplete.
  6. When every document is completed you will submit the contract.
  7. Make sure you get a confirmation number.
  8. You will need to click submit 2 or 3 times before you get a confirmation number.
  9. Please email us your confirmation number when you are done.