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Agent/Broker of Record Change GuidelinesTM18 Peoples Trust Way Deerfield Beach, FL 33441 business support PTI.insurePeoples Trust has developed a process by which we are able to honor policyholder
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How to fill out agentbroker of record change

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To fill out the agent/broker of record change, follow these steps:
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Obtain the necessary form from the insurance company or agency.
03
Read the instructions carefully to understand the requirements and the information needed.
04
Gather all the required information, such as policy details, current agent/broker information, and new agent/broker information.
05
Fill in the form accurately and completely, providing all the requested information.
06
Double-check the form for any errors or omissions before submitting it.
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Ensure all parties involved sign and date the form as required.
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Submit the completed form to the insurance company or agency as instructed, either by mail, fax, or online submission.
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Keep a copy of the completed form for your records.
10
Follow up with the insurance company or agency to confirm the change has been processed.

Who needs agentbroker of record change?

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An agent/broker of record change is needed in various situations:
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- Business owners who want to switch their insurance provider or change representation.
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- Individuals or organizations that are dissatisfied with their current agent/broker and wish to work with a different one.
04
- Insurance companies or agencies that need to update their records with the correct agent/broker information for a policy.
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- When an agent/broker leaves a company or retires, and a new agent/broker needs to be assigned to the policy.
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- During mergers or acquisitions where a change in the control or ownership of a policy occurs.
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- When an individual or business wants to consolidate their insurance policies and work with a single agent/broker.
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An agent/broker of record change refers to the process of officially designating a new insurance agent or broker to represent a policyholder with an insurance company, replacing the current one.
Typically, the policyholder is required to file an agent/broker of record change, but it may also involve the current and new agents or brokers.
To fill out the agent/broker of record change, the policyholder must complete a designated form provided by the insurance company, providing details such as the current agent's information, the new agent's information, and the policy details.
The purpose of the agent/broker of record change is to allow policyholders to change their representation to a different agent or broker, often for better service, improved coverage options, or lower rates.
The information that must be reported includes the policyholder's name, the policy number, the existing broker's name, the new broker's name, and possibly signatures from the parties involved.
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