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AGENT OF RECORD CHANGE FORM: INDIVIDUAL/GROUP ENROLLMENTS ON & OFF MARKETPLACE Complete this form to ensure the correct agent is reflected as the Agent of Record (AOR) on new business enrollments
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How to fill out agent of record change

How to fill out agent of record change:
01
Begin by gathering all the necessary information and documents related to the change in the agent of record. This may include the current agent's contact information, the new agent's contact information, and any supporting documentation.
02
Locate the appropriate form for submitting the agent of record change. This form can typically be obtained from the relevant insurance company or organization that manages the policy.
03
Carefully review the form and ensure that all required fields are completed accurately and thoroughly. This may include providing policy information, policyholder details, and the reason for the agent of record change.
04
Attach any supporting documentation, such as a letter of authorization from the policyholder, to the completed form.
05
Double-check the form and attached documentation for completeness and accuracy before submitting it.
06
Submit the agent of record change form to the designated insurance company or organization. This can usually be done either electronically or through traditional mail, depending on the preferred method of submission.
07
Keep copies of the completed form and any supporting documentation for your records. This can serve as proof of the agent of record change if any issues or disputes arise in the future.
Who needs agent of record change:
01
Policyholders who wish to change the designated agent responsible for managing their insurance policies may require an agent of record change.
02
Businesses or individuals who are dissatisfied with their current agent's performance or wish to consolidate their insurance policies under a new agent may also require an agent of record change.
03
Any situation where there is a need to transfer the authority and responsibility for managing insurance policies from one agent to another may necessitate an agent of record change.
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What is agent of record change?
Agent of record change is the process of changing the designated representative responsible for handling insurance matters.
Who is required to file agent of record change?
The policyholder or insured party is required to file an agent of record change.
How to fill out agent of record change?
To fill out an agent of record change, the policyholder must complete a form provided by the insurance company and submit it with the required documentation.
What is the purpose of agent of record change?
The purpose of agent of record change is to officially designate a new representative to manage the insurance policy on behalf of the policyholder.
What information must be reported on agent of record change?
The agent of record change form typically requires information such as the policy number, current agent information, new agent information, and reason for the change.
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