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Agent prospect form

You must be licensed with the NC DOI to become a Blue Cross NC appointed agent. If interested in Under 65 Individual market, you must also be CMS certified.

We are not appointing new agents for existing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Groups with 1 to 50 employees.

If the group is currently with Blue Cross NC, please do not complete this form.

In the meantime, learn more about our business offerings or return to our Agents page.