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Agents Agent prospect form

Complete our agent prospect form to become an appointed agent with Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Applicants must be licensed with the NC DOI to become an appointed agent.

Select the appropriate group segment to begin the application process.

Individual under 65 and over 65 agent appointments are closed at this time. Currently, we are only accepting new agent appointments for the following group segments.

 

Groups with 1-50 full-time equivalents

Groups with 51+ full-time equivalents
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Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

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