skip to Main Content
General Docshttps://booneinsuranceassociates.com/wp-content/uploads/2023/05/Admin_W-9-08122019.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/06/Admin_BIA-GA-Contracting_BIA-Payable-Comms-Packet.pdf
State AffiliationOR Affiliation


General Links
https://www.statebasedsystems.com/solar/index.htmldfr.oregon.gov/business/licensing/insurance/Documents/2139.pdf
TransferBIA Transfer Release Form
https://booneinsuranceassociates.com/wp-content/uploads/2023/08/Admin_BIA_Contracting-Transfer-Release-Form_07262021.pdf
Ameritas
Atrio Health Plans
Transfer Request Form
Cignahttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_CI_Transfer-Form_05112023.pdf
CVS/Caremark
Devoted Health
Delegated Agent FormAgent Information Sheet
Humanahttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Delegated-Agent-Assignment-Form_07182022.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/12/Admin_BIA_HU_Agent-Information-Sheet_11302023.pdf
Kasier Permanente
Lasso Healthcare
Lumico
MODA Producer AgreementAppointment Packet
Moda Healthhttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_MODA_Medicare_Participating-Producer-Agreement_2024.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_MODA_Appointment-Packet_07232023.pdf
Affiliation Form
Pacific Source Medicarehttps://booneinsuranceassociates.com/wp-content/uploads/2023/05/Admin_PS_Appointment-Afifiliation-Form_11032023.pdf
Providencehttps://booneinsuranceassociates.com/wp-content/uploads/2023/09/Admin_PR_Transfer-Letter_Template_09272023.pdf
Transfer Letter Template
Regence Blue Cross Blue Shieldhttps://booneinsuranceassociates.com/wp-content/uploads/2023/06/Admin_BC_Transfer-Letter_Template_06062023.pdf
Summit Health (MODA)
United Healthcare AARP
WellCare
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
New
Ameritas
Onboarding/Certification Guide
Atrio Health Plans
Appointment Application
Cigna
CVS/Caremark
Contracting Weblink
Devoted Health
https://agent.devoted.com/register?a=6d9f124b-ecd6-4364-9da8-f2b46507e254&t=5&n=Boone%20Insurance%20Associates
Agent Information Sheet
Humana
Kasier Permanente
Lasso Healthcare
Lumico
MODA Producer AgreementAppointment PacketIFP GROUP
Agency/Agent

Moda Healthhttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_MODA_Medicare_Participating-Producer-Agreement_2024.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_MODA_Appointment-Packet_07232023.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/08/Admin_MODA_Health-Appointment-Packet_Oregon_Agent_Agency-1.pdf
AgreementAffiliationPS Direct Deposit FormPS Assignment of CommsFMO/MGA/GA Checklist
Pacific Source Medicarehttps://booneinsuranceassociates.com/wp-content/uploads/2023/05/Admin_PS_2024-PacificSource-Medicare-Producer-Agreement-fillable-PDF-1-17-2024-1.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/05/Admin_PS_Appointment-Afifiliation-Form_11032023.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2024/02/Admin_PS_2024-Direct-Deposit-form-1-17-24.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/05/Admin_PS_2024-Assignment-of-Commission-form-1-17-24.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2024/02/Admin_PS_2024-FMO-MGA-GA-Admin-Medicare-Producer-Appointment-checklist-1-17-24.pdf
Providencehttps://booneinsuranceassociates.com/wp-content/uploads/2023/09/Admin_PR_Transfer-Letter_Template_09272023.pdf
Docusign LinkAppointment Guide
Regence Blue Cross Blue Shieldhttps://powerforms.docusign.net/4251b119-0c41-4c69-ae32-2b3cb3f7e9ee?env=na2&acct=b2c19ff4-7e47-4d6a-9d12-1a99e0fae123&accountId=b2c19ff4-7e47-4d6a-9d12-1a99e0fae123https://booneinsuranceassociates.com/wp-content/uploads/2023/06/Admin_BC_Regence-Quick-Start-Guide-for-Appointment-Requests-FMO-MGA-RMA.pdf
SH Producer AgreementAppointment Packet
Summit Health (MODA)https://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_SH-MODA_Medicare_Participating-Producer-Agreement_2024.pdfhttps://booneinsuranceassociates.com/wp-content/uploads/2023/07/Admin_MODA_Appointment-Packet_07232023.pdf
Appointment Application
United Healthcare AARPhttps://booneinsuranceassociates.com/wp-content/uploads/2023/08/Admin_UHC_Contracting-Documents_09202023.pdf
WellCare
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Recertification
Ameritas
Onboarding/Certification Guide
Atrio Health Plans
Recert Roadmap
Cigna
CVS/Caremark
Devoted Health
Humana
Kasier Permanente
Lasso Healthcare
Lumico
Moda Health
Compliance Poster
https://booneinsuranceassociates.com/wp-content/uploads/2023/08/Admin-MODA-Poster-Compliance-Delegates-08162023.pdf
Pacific Source Medicare
Providence
Regence Blue Cross Blue Shield
Summit Health (MODA)Compliance Poster
https://booneinsuranceassociates.com/wp-content/uploads/2023/08/Admin-MODA-SH-Poster-Compliance-Delegates-08162023.pdf
United Healthcare AARP
WellCare
Back To Top