Enroll Members

Online Enrollment Tool

We’re partnered with SunFire to provide you with an easy solution to electronically enroll your clients in a CCA Health Michigan plan (including HMO D-SNP).

If you’re currently a broker with CCA and wish to electronically enroll your clients in a CCA Health Michigan plan, please email us at [email protected] to set up a SunFire BlazeConnect account.

If you’re currently a broker with CCA and already have a SunFire BlazeConnect account to electronically enroll your clients in a CCA Health Michigan plan, please use the button below.

Please Note: If you already have access to SunFire through your agency, our products are also available for quoting and enrollment, as long as you’re Ready To Sell (RTS). If you have any questions or need any assistance, please reach out to your agency.

Paper/PDF Enrollment Forms & Scope of Appointment (SOA)

For instructions on submitting completed paper/PDF enrollment forms and Scope of Appointment (SOA) forms, please contact your agency.

Please log in here to order or download our enrollment forms and SOA.

Please Note: Your National Producer Number (NPN) must be included on all completed paper/PDF enrollment forms to ensure you are assigned as the agent/broker of record.