Agent of Records Letters
An Agent of Record (AOR) form or letter
is needed to change, add
The Agent of Record change request should be submitted on the AOR form whenever possible. If this form is not available, a letter from the group on the group's letterhead, which includes the group name, group number, agent's name and agent's Anthem ID number will be accepted. The form or letter must be signed by an officer of the group and letters must include all information that is requested on the form.
If the Agent of Record letter represents a change for life, or dental as well as health, it must be checked on the form, or the changes may not be made.
Agent of Record commission changes will become effective on the 1st day of the second month following receipt of the AOR form. Example: If an Agent of Record form or letter is received in Broker Administration on June 29, the commission would become effective for the new agent on August 1. Agent of Record forms or letters received in Broker Administration July 3; commission would become effective for the new agent September 1.
The current agent will be notified of the requested change. The existing agent has 10 calendar days to send a rescinding letter from the group to Broker Administration. If a rescinding letter is not received, the commission change will take place as previously indicated.
Anthem Blue Cross and Blue Shield will recognize the new agent as accountable for the group once we receive an Agent of Record change form or letter; however, it will not show in your on-line book of business until the actual effective date of the change.
When an agent is deleted per a group's request, the effective date of the deletion is the 1st of the month following receipt of the letter in Broker Administration.
Agent of Record changes are not accepted on direct-sold cases.
Questions regarding the Agent of Record changes should be directed to:
Anthem Blue Cross and Blue Shield
ATTN: Broker Administration, VA4002-R275
P. O. Box 27401
Richmond, VA 23279
Phone: (804) 354-3983
Fax: (866) 701-4991