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Bridge: Broker User Access Request Form
The Medcom Bridge is a complimentary online repository and order generation toolkit designed
exclusively to create opportunities for you, our broker partner. It connects you directly to compliance
experts, resources, and solutions that will better serve you and your valued clients.
Access will be vetted at the discretion of the Medcom Bridge Support team upon receipt of the following
essential information. Once verified, you will receive a
Bridge Essentials
email with your unique login
credentials, along with tutorial links of the most commonly used features.
Remember to login within
twenty-four hours receipt of this email to avoid password expiration.
Please contact the
Medcom Bridge Support team,
bridge@medcombenefits.com
, should you have issues logging in.
Thank you!
Are you a Medcom Team Member?
Yes
No
Medcom Team Member Email Address
Broker Partner Name (First and Last Name)
*
Broker Partner Email
*
Broker Agency Name
*
Phone Number(s)
*
Office Address including city, state and zip (NOTE: If you are a remote/satellite associate, please specify and provide the address of the office to which you report.)
*