HealthSun - Marketing Tools & Supplies

 See the links below for tools that will be helpful to you in enrolling beneficiaries.

Marketing Supplies

You can order marketing materials and supplies by using the order form below:

                           HealthSun Material Order Form

Email or  call Freddy Rivera to arrange shipping or pick-up.

Application Submission

  Fax applications along with the scope of appointment to the following EFax line:

  • EFax Line - 786-363-8115
Email applications along with the scope of appointment to the following email address 
Drop off paper applications along with the scope of appointment to the following address: 
  • 3390 Mary Street - Suite 330, Miami, FL 33133
  1. Check to make sure application is filled in properly in legible print and in black ink
  2. Make sure the correct plan is selected and PCP is indicated
  3. Make sure the correct plan selected on Page 1 matches the plan selected on Page 4 (it will be processed using the plan information on Page 4)
  4. Include any additional forms


Enrollment Forms

You can use the links below to print needed forms:

2018 HealthSun - Enrollment Application - English

2018 HealthSun - Enrollment Application - Spanish

2018 HealthSun - SOA - English

2018 HealthSun - SOA - Spanish



LIS/Medicaid verifications can be made by calling 786-388-6220


Application Processing

 To check on application processing you can contact:

SEP for 5 Star Plan - Application Completion

 Because HealthSun is a 5 Star plan, an SEP may be used throughout the year to enroll into this plan.  Please use the code "R" next to SEP type.  See example below:

HealthSun - 5 Star Enrollment SEP.png