Appointment and Contracting Request Form

Are you interested in selling Blue Cross and Blue Shield of New Mexico products? If you’re a licensed producer in New Mexico and want to sell our products, you’ll need to submit the Appointment and Contracting Request Form below.

Tips For Completing the Form

  • Independent Producers: You'll need your National Producer Number (NPN).
  • Agencies: Those working on behalf of a licensed Agency may complete the Agency form. You'll need your Agency's NPN and your Agency Principal's NPN.
  • Subproducers: If you are a subproducer working for an agency, do not complete this form. Once an agency contracts with us, we work with the agency to "onboard" their subproducers.