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CONTRACTUAL AGENCY AGREEMENT (NCA) (Legal Entity) This Agreement is between Florida Blue, on behalf of itself and its subsidiaries, Health Options, Inc. and Florida liability company/partnership]
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How to fill out florida blue agency agreement

01
Obtain a copy of the Florida Blue Agency Agreement form.
02
Fill out the applicant information section with your personal details.
03
Provide information about your agency, including the name, address, and contact details.
04
Sign and date the agreement to confirm your acceptance of the terms and conditions.
05
Submit the completed form to Florida Blue for processing.

Who needs florida blue agency agreement?

01
Insurance agents looking to represent Florida Blue
02
Insurance agencies wishing to offer Florida Blue products
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The florida blue agency agreement is a contract between a licensed insurance agent and Florida Blue, outlining the terms and conditions of the agent's relationship with the insurance company.
Licensed insurance agents who are designated as representatives of Florida Blue are required to file the agency agreement.
The Florida Blue agency agreement can be filled out online or in paper form, following the instructions provided by Florida Blue.
The purpose of the Florida Blue agency agreement is to establish the relationship between the agent and the insurance company, and to ensure that both parties understand their rights and responsibilities.
The Florida Blue agency agreement must include the agent's contact information, licensing details, commission structure, and any other terms and conditions agreed upon between the agent and Florida Blue.
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