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Anthem Blue Cross : Become A Broker

Become A Broker

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Thank you for your interest in Anthem Blue Cross. It’s easy for you to begin. Simply follow the steps below to file the necessary forms and agreements.  
Please review the attached Job Aid to assist you in completing the online application.  
If you require technical support with this online application, please email or contact our service provider nomoreforms at 800-686-8279 (8:00 am - 8:00 pm ET).  
How do you represent Anthem Blue Cross?  
Please be sure to review the descriptions associated with each link to ensure the correct link is selected.  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
General Agent Sub-agent relationship- agency or agent writing business through an approved General Agency. Then indicate the General Agency name and Tax ID in Section 4 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
For other assistance please contact us at 1-888-312-0846. 

® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2015 Anthem Blue Cross.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.