www.medica.com Open in urlscan Pro
104.18.26.148  Public Scan

Form analysis
1 forms found in the DOM

POST

<form action="" method="post"><input name="__RequestVerificationToken" type="hidden" value="6U9YYkYM3l48ldFEpfFu_GlK899FacvVtqethpDp0ic8TxTfq9WBsjB7g6xTuy_Jj3LYt8Ja1RVWHfNBEs_hQUxIkRA1" data-element_location="container">
  <p class="errorMessage">Fields marked with an asterisk <span style="color: #AB001E">*</span> are required.</p>
  <input id="ReturnUrl" name="ReturnUrl" type="hidden" value="/" data-element_location="container">
  <div class="form-group">
    <label for="userName"> Username<span style="color: #AB001E">*</span>
    </label>
    <input autocomplete="off" class="form-control" data-val="true" data-val-required="Required" id="userName" name="UserName" placeholder="username" type="text" value="" data-element_location="container">
    <span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="password">Password<span style="color: #AB001E">*</span></label>
    <input autocomplete="off" class="form-control" data-val="true" data-val-required="Required" id="password" name="Password" placeholder="password" type="password" value="" data-element_location="container">
    <button type="button" style="border: none;background: none;" onclick="showPass()" data-element_location="container">
      <img id="eye" class="eye" title="show password" src="https://mss-p-048-delivery.stylelabs.cloud/api/public/content/929f90ff393448489641c752f04a577b?v=9df5705c" alt="show password">
    </button>
    <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
  </div>
  <div class="form-submit">
    <button type="submit" class="primary-cta" data-element_location="container">Sign In</button>
    <div class="row">
      <div class="component rich-text">
        <div class="component-content">
          <p>
            <a class="tertiary-cta" href="https://portal.medica.com/Account/ForgotPassword?ReturnUrl=https%3A%2F%2Fpartner.medica.com%2Fbrokers%3FreturnUrl%3D%2Fbrokers%2Fgroup%2Fhome&amp;ReturnUrlTitle=Medica%20|%20Broker%20Login&amp;_ga=2.213359319.297034952.1655485730-781367828.1636578538" data-event_name="link click" data-element_location="rich-text">Forgot password?</a>
            <a class="tertiary-cta" href="https://portal.medica.com/account/usernamerecovery?ReturnUrl=https%3A%2F%2Fpartner.medica.com%2Fbrokers%3FreturnUrl%3D%2Fbrokers%2Fgroup%2Fhome&amp;ReturnUrlTitle=Medica%20|%20Broker%20Login&amp;_ga=2.251654597.297034952.1655485730-781367828.1636578538" data-event_name="link click" data-element_location="rich-text">Forgot username?</a>
          </p>
          <p style="text-align: center">
            <span class="link-icon-w-text" style="display: flex; justify-content: center;">
              <span class="link-icon-image">
                <img stylelabs-content-type="Image" mediaid="" src="https://mss-p-048-delivery.sitecorecontenthub.cloud/api/public/content/ab21a7bb43e74367970f52022fcb0d37?v=e4893eb2" height="19" alt="Email-Calm Blue.svg" stylelabs-content-id="90889"
                  width="26" thumbnailsrc="https://mss-p-048.stylelabs.cloud/api/gateway/90889/thumbnail" format="">
              </span>
              <a class="tertiary-cta" style="margin-left:0" href="mailto:BrokerExperience@medica.com?subject=Broker Portal Help" data-event_name="email address click" data-element_location="rich-text">Other login questions?</a>
            </span>
          </p>
        </div>
      </div>
    </div>
  </div>
</form>

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BROKER LOGIN

Fields marked with an asterisk * are required.

Username*
Password*
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CREATE AN ACCOUNT

To create a medica.com broker account, you must first be registered in our
Broker Tracking System (BTS). Once you have a broker account, you'll have access
to:

 * Rates and plan information
 * Commission data
 * News and events

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MEDICA COMMERCIAL REPORTING SYSTEM

Please note different usernames/passwords are required to access self-funded vs
fully insured reporting for the Medica Commercial Reporting System. To access
fully insured client reporting, use your username beginning with “fi_” and your
corresponding fully insured password. To access self-funded client reporting,
enter your username beginning with “sf_” and your corresponding self-funded
password. Contact the Medica Broker Experience Team (1-866-752-0945) with
questions. 

Access the Medica Commercial Reporting System


BROKER EXPERIENCE

1-866-752-0945

Monday – Thursday, 8 a.m. - 5 p.m. CT
Friday, 9 a.m. - 5 p.m. CT
(Closed 12 - 1 p.m. daily)

Email Broker Experience


RESOURCES

 * 
 * Broker terms of use
 * Sales relationship managers
 * Qualified Health Plan Requirements (PDF)