Producer Status Changes

Producer Status Changes

  • Changing type of producer (group, individual, Farm Bureau, etc.)
  • Changing contact information (address, phone, fax, e-mail, etc.)

If you wish to change your current producer status, complete and submit the following Producer License and Appointment Questionnaire. Answer all fields as completely as possible. When done, click the submit button to have this form sent to your Regional Director for review.

Copyright © 2008 Blue Cross and Blue Shield of Louisiana. Blue Cross and Blue Shield of Louisiana is
licensed to sell products only in the state of Louisiana.