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Producer of Record
Change Request Form
If this request form is approved, your signed consent authorizes Blue Cross and Blue Shield of
Louisiana (BCB SLA), and its subsidiaries, HMO Louisiana, Inc.
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How to fill out producer of record

How to fill out producer of record
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To fill out the producer of record, follow these steps:
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Who needs producer of record?
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The producer of record is needed by various stakeholders in the insurance industry, including:
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