List Of Anthem Ohio Agent Of Record Letter Template

Simply Put, I _____ Am Changing My Broker To _____ (_____).

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. Please be advised that as of , i am changing my current agent of record to the following new agent: Please contact your provider representative for assistance.

Effective October 15, 2018, Anthem Is Making A Change To The Guidelines Around Assignment Of The Agent Of Record (Aor).

An agency of record letter or agent or record or aor is an insured statutory agreement designating the insurance agency they want to represent them on the insurance marketplace,. A library of the forms most frequently used by health care professionals. 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.

By Completing This Document, I.

However, agency name will not be responsible for any. 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. Effective october 15, 2018, anthem is making a change to the guidelines around assignment of the agent of record (aor).

<Include New Agent Name, Agent Id Number, Agency Name & Address.

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. (this sentence only needed if replacing. Download or preview 1 pages of pdf version of sample agent of record change letter (doc:

Please See Below For The Details:

By completing this document, i. This letter authorizes agency name to negotiate with any insurance carrier with respect to the coverage. Effective october 15, 2018, anthem is making a change to the guidelines around assignment of the agent of record (aor).