Holder Insurance Agency

Access 2 Benefits

A Master General Agent Representing
bcbsfl

Would you like the opportunity to represent Blue Cross Blue Shield of Florida?
Are you willing to be captive?
BCBS of Florida has the first right of refusal on their under 65 health insurance products and
you cannot write another carriers over 65 plans!
If you are willing to make this commitment, and meet certain production requirements,
please give me a call.

Diana Holder, MGA
(352) 317-0625

Appointment Forms Necessary for Agency: Appointment Forms Necessary for Agents:

Print forms, Sign and Forward Originals to address below! Print forms, Sign and Forward Originals to address below!

2008 CGA/MGA/MAA Appointment Form 2008 Agent Appointment Form

Agency Owner Request Form Appointment Fee Invoice (unless already appointed)

Office Administrator Delegate Form W-9 Form (www.irs.gov)

Appointment Fee Invoice (unless already appointed) Copy of Errors & Omissions Dec Page

Access 2 Benefits LLC
c/o Diana Holder
1635 SW 1st Avenue, Ocala, FL 34471

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