Appointment Procedures for Group Business

Please call or e-mail the appropriate regional office contact for appointment information for group business. Regional Office Map

Appointment application for CoverTN business

• Agency Agreement

Appointment Procedures for Individual Business

• Appointment Procedures

In addition to the required forms below, please submit the following:

• Your first BlueCross BlueShield of Tennessee health case/application.
• A copy of your current State of Tennessee Life and Health Insurance license.
• A copy of your Error and Omissions insurance.

Required Forms for Individual Business

• Individual Products Agency Agreement
• Producer Request For Appointment
• Privacy Addendum Agency with Business Associate
• IRS W-9 Form
• Electronic Fund Transfer Authorization Agreement
• Web Linking Agreement

For an appointment to sell individual business, please submit your information to:

BlueCross BlueShield of Tennessee
Attn: Individual Sales Department, 3G2
801 Pine Street
Chattanooga, TN 37402-2555

If you have questions please contact the Individual Agent Representative for your area: Individual Field Agency Support Map

Additional Agency Agreement and Credentialing Required for Medicare Advantage and Medicare Part D Products

For more information on credentialing, please call 1-800-351-9325. Choose Option 1 for Medicare Products.