A separate profile is required for all agencies and producers.

If an agency already has a BCBSLA contract and would like to add a producer, then a profile is required only for the new producer.

If an agency is requesting to be newly contracted, please complete a profile in the name of the agency and separate profile in the name of each new producer indicating that commissions will be assigned.



Contract Information

*required field


Producer Information

Producer Information (cont.)




Agency Point of Contact

An Agency Point of Contact is required to review the list of users on an annual basis and remove access as needed. This individual will not have access to the AccessBlue portal unless they are also identified as a Producer or Superuser.


Producer Superuser or Agency Superuser

The Producer Superuser or Agency Superuser will receive access to all enrollment, billing, coverage, eligibility, reporting tools, eQuoting and Individual Enrollment. The Superuser is responsible for creating and managing additional delegate user accounts in the portal.


I hereby certify the Producer Superuser or Agency Superuser listed above will create delegates for the producer or agency as well as deactivate users when they are no longer employed.



The Federal Insurance Fraud Provisions of the Violent Crime Control Act make it a criminal offense for Blue Cross and Blue Shield of Louisiana to willfully permit any person who has been convicted of insurance fraud or felony involving dishonesty or breach of trust to be employed by Blue Cross and Blue Shield of Louisiana or contracted as a producer.



Completion of this form does not constitute a contract as a producer for Blue Cross and Blue Shield of Louisiana. Applicant should be informed that to be/become a Blue Cross and Blue Shield of Louisiana contracted producer to sell individual products, some training may be required.