Fage Financial — Find health coverage that fits

Fage Financial Services

Agent application

Fage Financial Services
(845) 499-2255

Agent Application

About ten minutes. This is what we need to set up your agent account under Fage Financial, plus the login you want for the Fage platform.

Personal Information

Salutation

First Name *

Middle

Last Name *

Suffix

Agency name (optional)

Title (optional)

Credentials (optional)

?Your nameTitle

How the top of the public page will read. With a company name, the company goes on top and the name underneath. Changeable later in Profile.

Primary Address

Address 1 *

Address 2

City *

State *

Zip *

Contact Information

Main Phone *

Alt Phone

Email Address *

Your agent ID and portal login are sent here.

Account Access

You sign in with your email address and the password below. No separate username.

Password *

Confirm Password *

Back office PIN *

Confirm PIN *

4 to 8 digits, different from your password. When a client is sitting with you, this is what you type to hop from your storefront into the back office and back. You can add or change it any time in Profile → Account.

E&O Coverage *

Licensing — optional now, needed before your first payout

National Producer Number (NPN)

Resident license number

Resident state

Other states you are licensed in (optional)

How We Pay You — direct deposit; add your bank now or later under Profile

Your Page & Profile — all optional; you can add these later under Profile

Your storefront (your own copy of the Fage marketplace at your own address) is switched on automatically with every plan you are allowed to sell. Under Profile → My Storefront you can preview it, copy the link, and hide any plan you do not want to offer.

Acknowledgment & Signature

This application is for access to the broker platform, operated by Benehive. It gives you a back-office login, a storefront, and the tools on this site. It is not a carrier or insurance contracting agreement — appointments and contracting with any carrier or administrator are handled separately, product by product, and commissions are paid by Fage Financial Services under its schedule.

Type your full name as your signature *

I agree to the platform terms of use and privacy policy. *I authorize Fage to use the information in this application to set up my agent account under Fage Financial Services, including with the enrollment platforms behind the plans I sell. My agent number will be emailed to me. Commissions are paid by Fage Financial Services, not by any platform. *