Forgot Your PIN

Forgot Your PIN

Please enter the following information in order for EmblemHealth to correctly identify you as a registered myEmblemHealth Broker Online Service’s User. When your information is validated an email with your PIN will be sent to the registered Business Owner’s Email Address.

If you do not remember your User ID please use our Forgot Your User ID process.

User ID:  
License Number:   -
Firm Tax ID Number:   -
Social Security Number*:   - -
ZIP code of your primary business address**:  

*   required if your firm does not have a Tax ID
**   ZIP code used on EmblemHealth Commission Statement

Please note that EmblemHealth, at its sole discretion, may limit access to this site and the information contained therein. Furthermore, you, as an EmblemHealth Agent, agree to indemnify and hold EmblemHealth harmless for any claims arising out of or relating to the release or modification of information obtained or contained at this site. You agree that access and use of this site is controlled by the terms and conditions set forth in your Agent Contract with EmblemHealth, including but not limited to the Confidentiality of Information provision as well as the terms and conditions of your business associate agreement with EmblemHealth.