Common Contracts
1 similar Producer Participation Agreement contracts
Blue MedicareRx (PDP)SM Referral Program PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • September 17th, 2010
STOP! This form is to be completed by licensed producers who are contracted and appointed with Blue Cross and Blue Shield of New Mexico. If you are a sub agent wanting to participate in the Producer Referral Program, the principal of your Agency must complete this form first and you, the sub agent, must complete the participation form specifically for sub agents. Your participation will not be active until the Agency principal completes this form and identifies you as a sub agent.
