HAP (Health Alliance Plan) Contracting Request - MICHIGAN ONLY
Thank you for your interest in being appointed with HAP. Please complete the following information to initiate the invitation to onboard.
This same form is used for "new to contract" or "GA/FMO Change Request" contracting.
Additionally, if you are new to contract the on-boarding link gives you the option to contract as an AGENCY or as an AGENT. (If selecting Agency, then, once appointed, invitations can be sent to agents that you desire to be under your agency).