Especially for Individual Agents

Access your online Agent iStore account and client information:

Idaho Agent iStore Login

Montana Agent iStore Login

Oregon Agent iStore Login

Agent iStore Information

Guide - PacificSource Agent iStore (20 pages) - A detailed quide to using Agent iStore

Idaho BrightIdea Plans

Application

Idaho Individual-Application
Application-Update
Idaho Individual Parent/Guardian Consent Form

Fliers and Brochures

BrightIdea Brochure, en Español
Electronic Funds Transfer (EFT) Authorization
BrightIdea Plans Sales Area Map

Sample Summary of Benefits and Coverage (SBC) Documents

BrightIdea Preferred	BrightIdea Value	BrightIdea HSA-qualified
Preferred 2500	Value 2500	HSA 1500
Preferred 5000	Value 5000	HSA 3000
Preferred 7500	Value 7500	HSA 5000
	Value 10000

Idaho SmartHealth Plans

Application

Idaho Individual-Application
Application-Update
Idaho Individual Parent/Guardian Consent Form

Fliers and Brochures

SmartHealth Brochure, en Español
Electronic Funds Transfer (EFT) Authorization

Sample Summary of Benefits and Coverage (SBC) Documents

SmartHealth Family	SmartHealth Individual	SmartHealth HSA-qualified
Family 4000	Individual 2000	HSA 3000
Family 7000	Individual 4000
	Individual 5000
	Individual 7000

Montana Individual and Family Plans

Application

Individual and Family Plan Application
Individual Policy Change Form

Fliers, Brochures, Rates

Individual and Family Plan Application Tips

Individual and Family Plan Brochure

Individual and Family Plan Rates

Individual Sales FAQ: Answers to Your Questions

Top Reasons to Sell Individual and Family Plans

Sample Summary of Benefits and Coverage (SBC) Documents

Preferred	Value	HSA-qualified
Preferred 1000	Value 5000	HSA 3000+50
Preferred 2500	Value 7500	HSA 3000+100
Preferred 5000	Value 10000	HSA 6050+100

Oregon Elect Plans

Application

Elect Policy Application
Elect Dental-only Policy Application
Elect Individual Policy Change Form

Fliers, Brochures, Rates

Affidavit of Domestic Partnership
Elect Application Tips for Agents
Elect Brochure (January 1, 2013)	en Español
Elect Dental Brochure (January 1, 2013)
Elect Policy Premium Rates Plans beginning January 1, 2013 - December 31, 2013
Electronic Funds Transfer (EFT) Authorization
Incentive Drug List
Individual Agent and Underwriting Guide
Individual Sales FAQ: Answers to Your Questions
Top Reasons to Sell Elect Individual and Family Plans

Sample Summary of Benefits and Coverage (SBC) Documents

Premiere	Preferred	Value Option	Balance	HSA-qualified
Premiere 500	Preferred 500	Value Option 2500	Balance 2500	HSA 1500
Premiere 750	Preferred 750	Value Option 5000	Balance 5000	HSA 2000
Premiere 1000	Preferred 1000	Value Option 7500	Balance 7500	HSA 3000
Premiere 2500	Preferred 2500	Value Option 10000		HSA 5000
Premiere 5000	Preferred 5000
Premiere 7500	Preferred 7500
Premiere 10000	Preferred 10000

Oregon Healthy KidsConnect

Sample Summaries

HKC 200-300 FPL
HKC 300+ FPL
HKC 200-300 FPL Espanol
HKC 300+ FPL Espanol

InTouch Login

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Member Login

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Questions?

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PacificSource Sales and Service Representatives

PacificSource Administrators, Inc.

Last updated 6/10/2013