Become an Alliance Sponsor

Join our network of trusted vendors by completing your Alliance Insider profile below. The information you provide here will appear in your vendor directory listing, connecting you directly with health plan members seeking your solutions. Your organization must hold an Insider Subscription to qualify for our Preferred Business Sponsor Program, Meeting Sponsorship, or Spotlight Webinar opportunities. After submitting your profile information, you'll complete your subscription purchase with a secure payment to activate your full benefits.

Organization Information

*Organization Name
Membership Type	Insider
*Corporate Headquarters Address
Address 2
*City	Type only the first four letters of the city where your company headquarters is located and select from the drop down
*State	Type the first 3 letters of your company headquarters' state and select from the drop down. Do not use state abbreviations
*Country
*Zip Code
*Phone	(xxx) xxx-xxxx; general phone number
Website	Please include http://
Email	General email address, i.e. 'info@'
Description	For Vendors only: use this field to enter a description of your services. We encourage you to include a few lines about how your company differentiates itself from your top competitors.
*Federal Tax ID Number
Number of Employees
*Primary Products/services Category
*Secondary Products/services Category
Current Alliance Customers	Please enter a comma-delimited list of Alliance health plans with which you currently do business. We recommend you provide at least one referral at each plan, providing contact information and length of relationship in your comma-delimited list.
Corporate Annual Revenue
Accreditations/Certifications	NCQA, SOC-2, HITRUST, etc.
Are you a certified diverse supplier?	Yes/No
Does your company offshore any services?	Specify location and what services.
Are you willing to agree to SLAs or performance guarantees?
How did you hear about us?
	Check if you're not a robot.