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What is BOR Change Letter
The Broker-of-Record Change Letter is a legal document used by organizations to appoint a new agent or agency as their exclusive representative with Coventry Health Care.
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How to fill out the BOR Change Letter
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1.Access pdfFiller and search for the Broker-of-Record Change Letter form in the document library.
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2.Open the form by clicking on it from the search results.
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3.Familiarize yourself with the fillable fields: Coventry Group #, Group Renewal Date, New Agent Name, New Agency Name and Address.
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4.Gather all necessary information before filling out the form, such as group details and agent data.
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5.Use pdfFiller's tools to click into each field and enter the required information logically and correctly.
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6.Double-check entries for accuracy, ensuring the new agent details match your documentation.
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7.Have the designated decision maker review and sign the letter electronically through pdfFiller’s signature feature.
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8.Once complete, use the review option to ensure all fields are filled and correct.
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9.Save the document securely within your pdfFiller account, or download it to your device.
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10.For submission, send the completed letter to Coventry Health Care as instructed, ensuring it is on your group letterhead.
Who can sign the Broker-of-Record Change Letter?
The letter must be signed by the designated decision maker for the group, whose authority is recognized to make such changes.
What information is required to complete the form?
You will need to provide the Coventry Group #, Renewal Date, New Agent Name, Agency Name and Address, along with the decision maker's signature and title.
Is there a deadline for submitting the Broker-of-Record Change Letter?
While specific deadlines can vary, it’s essential to submit the letter before the group's renewal date to ensure a smooth transition of representation.
What happens after I submit the form?
After submission, Coventry Health Care will process the change and confirm the new agent’s appointment along with any commission assignment timelines.
Do I need to notarize the Broker-of-Record Change Letter?
No, notarization is not required for this document; however, it should be signed by an authorized decision maker on group letterhead.
How do I submit the completed Broker-of-Record Change Letter?
You should submit the completed letter via the preferred method indicated by Coventry Health Care, typically by email or postal service.
What are common mistakes to avoid when filling out this form?
Common mistakes include omitting required information, providing inaccurate agent details, or failing to secure the necessary signature from the decision maker.
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