Blue MedicareRxSM Referral Program PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • September 8th, 2009
This form is to be completed by licensed producers who are contracted and appointed with 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.
Blue MedicareRxSM Referral Program PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • September 8th, 2009
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, Blue Cross and Blue Shield of Oklahoma, 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
PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • September 20th, 2013
This form should be submitted by agency principles and producers who are Contracted and Appointed (where required) with Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield
MARYLAND EGG QUALITY ASSURANCE PROGRAM PRODUCER PARTICIPATION AGREEMENTProducer Participation Agreement • March 21st, 2005
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.
