Common Contracts
2 similar Producer Participation Agreement contracts
Blue Medicare Advantage Referral Program PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • June 8th, 2012
This form is to be completed by licensed producers who are contracted and appointed with Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of New Mexico and Blue Cross and Blue Shield of Texas. If you are a subagent wanting to participate in the Producer Referral Program, the principal of your Agency must complete this form first and you, the subagent, must complete the participation form specifically for subagents. Your participation will not be active until the Agency principal completes this form and identifies you as a subagent.
Blue Medicare Advantage Referral Program PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • June 8th, 2012
This form is to be completed by licensed producers who are contracted and appointed with Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of New Mexico and Blue Cross and Blue Shield of Texas. If you are a subagent wanting to participate in the Producer Referral Program, the principal of your Agency must complete this form first and you, the subagent, must complete the participation form specifically for subagents. Your participation will not be active until the Agency principal completes this form and identifies you as a subagent.
