Do you have an upline agency? *
Do you have an upline agency? *
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Please reach out to your upline agency to get onboarded.
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Fill out the fields below to get started. ~
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Select Onboarding Type *
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For the Agency Email field, please provide the main email for the agency if applicable.
For the Agency Principal fields, please provide the information of the agency's primary point of contact.
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Is your agency a corporation?
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Please complete each tab for the state(s) and plan(s) you are requesting to market. You must be licensed in the requested state(s).
These selections represent your requested appointments, but please note that they are subject to approval by the carrier team.
Regence BlueShield of Idaho, Inc. Appointments
Regence BlueShield of Idaho, Inc. Appointments
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Please note that this appointment requires you to have a WA state license.
Additionally, this appointment is required if you would like to sell Medicare Advantage in Asotin/Garfield Counties.
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If you would like to sell Medigap in Asotin/Garfield Counties, please go to the Asuris Northwest Health tab and select the WA appointment.
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Regence BlueCross BlueShield of Oregon Appointments
Regence BlueCross BlueShield of Oregon Appointments
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If you would like to sell Group Stop Loss in OR, please go to the Commencement Bay Risk Management tab and select the OR appointment.
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Please note that this appointment requires you to have a WA state license.
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If you would like to sell Group Stop Loss in WA - Clark County, please go to the Commencement Bay Risk Management tab and select the OR appointment.
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Regence BlueCross BlueShield of Utah Appointments
Regence BlueCross BlueShield of Utah Appointments
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Regence BlueCross BlueShield of Utah Business Types
Regence BlueCross BlueShield of Utah Business Types
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If you would like to sell Group Stop Loss in UT, please go to the Commencement Bay Risk Management tab and select the UT appointment.
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Regence BlueShield Appointments (in parts of Washington)
Regence BlueShield Appointments (in parts of Washington)
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Regence BlueShield Business Types
Regence BlueShield Business Types
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If you would like to sell Group Stop Loss in WA, please go to the Commencement Bay Risk Management tab and select the WA appointment.
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Please note that this WA appointment does not include Clark County. Clark County appointments must be selected under the other Regence plans.
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Asuris Northwest Health Appointments
Asuris Northwest Health Appointments
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If you would like to sell Group Stop Loss in WA, please go to the Commencement Bay Risk Management tab and select the WA appointment.
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Asuris OR Medicare Sub-Types HTML
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BridgeSpan Health Company Appointments
BridgeSpan Health Company Appointments
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Commencement Bay Risk Management Insurance Company (CBRM) Appointments
Commencement Bay Risk Management Insurance Company (CBRM) Appointments
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You will receive a generic invitation email from donotreply@webcomserver.com. If you do not receive the invitation within an hour of submitting this form, please check your spam or junk folder.
If you are still not receiving an invitation from this address, please call (800) 331-7880 for assistance.
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