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Regency Agent of Record Request Medicare Advantage and Medicare Supplement PlansInstrucons: All ends are required, and information must be clearly printed. (Illegible or incomplete letters will

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How to fill out regence agent of record

01

Visit the Regence website at www.regence.com

02

Select the 'Agent of Record' option from the main menu

03

Login to your account or create a new account if you don't have one

04

Provide the necessary personal and contact information

05

Fill out the required fields related to your agency, such as agency name, address, and license number

06

Submit the completed Agent of Record form

07

Wait for a confirmation email or notification from Regence regarding the status of your Agent of Record request

Who needs regence agent of record?

01

Insurance agents or agencies who want to become the official representative of a client with Regence healthcare coverage

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What is regence agent of record?

A Regence Agent of Record is a designated representative who acts on behalf of a client in managing their health insurance policy with Regence.

Who is required to file regence agent of record?

Typically, the policyholder or insurance broker is required to file the Regence Agent of Record to officially designate their representative.

How to fill out regence agent of record?

To fill out a Regence Agent of Record, complete the designated form with the agent's information, policyholder details, and any pertinent identification numbers required by Regence.

What is the purpose of regence agent of record?

The purpose of the Regence Agent of Record is to formally authorize an agent to manage insurance matters, including claims and policy inquiries, for the policyholder.

What information must be reported on regence agent of record?

The information required includes the agent's name, contact details, agency name, policyholder's information, and the specific policies involved.

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