Free Anthem Ohio Agent Of Record Letter Template. <include new agent name, agent id number, agency name & address. However, agency name will not be responsible for any.
Agent of record changes will no. Agent of record changes will. We are currently in the process of.
Start simplifying your aor process by quickly and easily creating a new agent of record letter with our letter creation tool. A sample agent of record letter should include the names and contact information of the policyholder and the agent, the effective date and duration of the. Effective october 15, 2018, anthem is making a change to the guidelines around assignment of the agent of record (aor).
Please contact your provider representative for assistance. By completing this document, i. I have authorized (him/her to act on my behalf in place of (former agent/broker name) whose business address is (street, city, state, zip code).
Effective october 15, 2018, anthem is making a change to the guidelines around assignment of the agent of record (aor). Please be advised that as of , i am changing my current agent of record to the following new agent: Agent of record changes will no.
By completing this document, i. 95.9 kb ) for free. Download or preview 1 pages of pdf version of sample agent of record change letter (doc:
We are currently in the process of. An insurance agent of record letter should include the policyholder’s name and policy information, the name and contact information of the designated agent or broker, and. I instruct anthem blue cross and blue shield (anthem) to change the current agent of record that is associated with my policy to the agent listed below.
