Complete the contracting agent data form below to get started on your medicare journey. Please make sure to have your National Producer Number, Copy of E&O, and State License before you start he process. Once you complete the form, you will receive a welcome email in 1 – 2 business days with instructions on how to contract with each carrier.

Contracting ChecklistGet Certified


Please complete the agent data form on this page. Make sure that you complete each of the required fields ans this is an important piece of informmtion that each carrier will require.

Once we receive your information, Pegasus will request your contract from each of your chosen carriers. You will receive a welcome email in 1-2 Business Days from submission.

If you have any questions or problem with our online data form, please contact Pegasus.


We are flexible in our process and have a fillable PDF form that will allow you to start the contracting process with us. Download our paper Medicare contracting packet to get started. Follow the instructions on the form and upload, fax, or email it to Pegasus with a copy of your State License, E&O, and VOID Check to get started.


Pegasus Insurance
18402 US HWY 281 N., Suite 265
San Antonio, TX 78259
Phone: 505-298-2111
Fax: 505-298-2555