Partner with Regence

We’re excited you’re interested in becoming a Regence producer. When you work with us, you have the strength and financial stability of a partner always here to support you. Plus, choices to offer your clients that reduce costs, expand access to care, and improve health and well-being.

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Get appointed

Our producer application should only take you a few minutes to complete. Once you’ve submitted it, you can expect to hear back from us within ten business days.

Follow the steps below to get started.

Note: If you’re coming to us through a field marketing organization, please submit your application through it.

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Be ready

Have your agency and producer license numbers, W-9 with your EIN or social security number, E&O insurance in your name, and a voided check for EFT on hand.

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Fill out form

Download the PDF application below, complete all the questions and save your information.

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Email us

Please send your completed application to the Regence Agent Onboarding and Commissions team at

Download an application

Get the form
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We’re here for you

Reach out to us with questions or if you need help with anything on the application. Our Agent Onboarding and Commissions Team is ready to assist you at 1 (800) 452-7278 x4960.