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April 4, 2017, Applies to: All markets Horizon BCBS NJ BrokerofRecord Letter Templates Attached please find templates for your clients to use to communicate BrokerofRecord status/changes to Horizon
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How to fill out horizon bcbsnj broker-of-record letter

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How to fill out horizon bcbsnj broker-of-record letter

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To fill out the Horizon BCBSNJ Broker-of-Record letter, follow these steps:
02
Begin by entering your personal information, such as your name, address, phone number, and email address, in the designated fields.
03
Next, provide your affiliation with the broker agency, including the name of the agency and your role within it.
04
Specify the broker-of-record letter type by selecting the appropriate checkbox option.
05
Indicate the effective date for the broker-of-record change.
06
Provide the necessary details about the Horizon BCBSNJ member or group that you are requesting the broker-of-record change for, including their name, policy number, and group number.
07
Sign and date the letter to acknowledge its validity and authenticity.
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Finally, submit the completed broker-of-record letter to Horizon BCBSNJ by mailing it to the designated address or contacting their customer service for further instructions.

Who needs horizon bcbsnj broker-of-record letter?

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The Horizon BCBSNJ Broker-of-Record letter is needed by insurance brokers or individuals who wish to change the broker of record for a Horizon BCBSNJ member or group. This letter serves as a formal request to transfer the broker's responsibilities and representation rights from one agency to another. It is typically required when a broker or agency is taking over management or representation for an existing policyholder or group.
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The Horizon BCBSNJ broker-of-record letter is a document that designates a broker as the official representative for a customer when dealing with Horizon BCBSNJ.
Brokers or agents who are representing customers in dealings with Horizon BCBSNJ are required to file the broker-of-record letter.
The broker-of-record letter can typically be filled out by providing the necessary information about the broker, the customer, and the effective date of representation.
The purpose of the broker-of-record letter is to officially designate a broker as the authorized representative in transactions with Horizon BCBSNJ.
The broker-of-record letter must include information such as the broker's name, contact information, customer's name, group number, and effective date of representation.
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