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Become a Licensed Anthem Broker

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Thank you for your interest in Anthem Blue Cross Blue Shield. It’s easy for you to begin. Simply follow the steps below to file the necessary forms and agreements  
Please review the attached Job Aid to assist you in completing the online application.  
If you require technical support with this online application, please email or contact our service provider nomoreforms at 800-686-8279 (8:00am-8:00pm EST)  
How do you represent Anthem Blue Cross Blue Shield?  
Please follow instructions carefully  
Individual and Senior appointment only- you have the option to be direct or with a general agent.
Individual, Senior and Group- You must choose a general agent for a group appointment in Ohio. See below list of general agents. Keep in mind if you choose the direct link you will only be appointed for individual and senior.
Small Group only appointment- you must choose a general agent.
 
Please be sure to review the descriptions associated with each link to ensure the correct link is selected.  
Individual and Senior appointment only  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency. .
 
Individual, Senior and Group General Agents 
Alpha Benefits, Inc. (Expresslink) Ask for Anthem Contracting- 1-800-886-3315  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
Brokernet, Inc. - Ask for Anthem Contracting- 1-800-589-7271  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
Benefits Network Insurance Agency- Ask for Anthem Contracting- 1-800-837-7672  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
Carnegie Brokerage Agency, Inc. - (Individual Products Only) Ask for Anthem Contracting 1-800-874-6615  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
CBISA Reacquisition Corp. – Ask for Anthem Contracting- 1-800-248-7675  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
National United Brokers, Inc. - Ask for Anthem Contracting- 1-800-334-6687  
Agent – Broker or Producer who does not work under an agency and the commission paid directly to the Broker/Producer.
Firm/Agency Principal or Authorized Officer for Agency when request is to set up a new agency. Log in using the agency principal SSN and name. Then indicate the agency name and Tax ID in Section 3 of the Producer Appointment Data Sheet.
 
Sub-Agent Broker or Producer who works under an agency and the commission is assigned or paid to the agency.
 
For other assistance please contact us at anthem.brokers@anthem.com or 1-877-304-6470. 
©2005-2015 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use