Thank you for your interest in contracting with Regence Blue Shield through Plan Advisors.
Please use the link below to begin the contracting process. Complete the forms with the requested information and return including all the documents listed below to firstname.lastname@example.org.
IMPORTANT – Be sure to include the following documents when you return the information:
- Individual License for all states you are requesting
- Agency License for all states you are requesting (if applicable)
- E&O Policy (must show your name as a named or covered insured – agency name if agency contract)
- Voided check
Please send the documents as one attachment if possible.
After your appointment request is received you will receive the contract paperwork to sign directly from Regence. When the contract is processed you will receive certification instructions which can be completed online. The process should take approximately 10 days.
If you are already contracted with Regence – you will need to provide a release letter from your current upline.
It should be on their letterhead, be signed by the principle and indicate the release date. If you can not get a release letter, you can provide a copy of an email to you upline requesting to be released. You will then be realigned 90 days from the date of the request.
If you need assistance during the contracting process, please contact 801.333.5605. Again, thank you for interest in representing Regence through Plan Advisors/Bishop Marketing.