BCBS of FL Referral Program

Complete the form below to get started with the BCBS of FL referral program.

Once processed, your account will be created, and you will receive an email with your temporary password and login instructions. You will also receive a scribe document with a visual walkthrough of the flow of submissions.

This program pays the agent an annual 'per person' referral fee. Agent must be licensed in the state of FL to submit a referral. Client must be new to Florida Blue. For OEP submissions by 12/15, referral fees will be paid out approx 90 days post-effectuation. 80% of the fee will be paid at that time, the remaining 20% will be paid in Oct-Nov to account for potential chargebacks. Refer to the agent referral contract for additional details.

Name

First NameMiddle NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

NPN

Agency/Manager Affiliation

Enter PPI if you are not working with a specific manager or agency.

I have an active FL health insurance license (resident or non-resident):

YesNo

You must hold an active FL health insurance license to submit referrals for Florida Blue.