To get appointed with Blue Shield, complete and send the following
forms:
- Signed and dated Producer Agreement (return pages 12 and 19)
- Your California Life-Only and Accident & Health agent licenses and
Errors & Omissions Insurance Certificate
- A Direct Deposit Authorization Form, required because Blue Shield pays
commissions through Electronic Funds
Transfer (EFT)
- A W-9 form
Email or mail the completed forms to:
Email: producerserviceappointments@blueshieldca.com
Mail: Blue Shield of California
P.O. Box 2630
Lodi, CA 95241-2630
Attention: New Appointment Desk
- Finally, create a Broker Connection account!
More information for brokers:
Broker payout calendar
Commission schedule
Commission schedule FAQs
Get credit for your new business