Aor Form Insurance. Web acord 36 (2007/01) agent/broker of record change date (mm/dd/yyyy) new agency phone (a/c, no, ext): Current agency current producer fax (a/c,.
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Web previously completed for any other insurance representative for the stated lines of business. Current agency current producer fax (a/c,. I appoint the individual named in section 2 to act as my representative in connection with my claim or asserted right under title xviii. Web streamline compliance with digital aorforms for health insurance agents. Date (mm/dd/yyyy) insurance company name code: Web acord 36 (2007/01) agent/broker of record change date (mm/dd/yyyy) new agency phone (a/c, no, ext): Web what is an agent of record (aor) an agent of record, also known as a broker of record, is a company or individual with legal authority to represent the insured party and manage an. Say goodbye to the hassle of. Stay aligned with cms and healthcare.gov effortlessly.
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