Sign the transfer form here. After signing, you will receive the completed copy in your inbox: 
[https://signnow.com/s/g7mePVmY?name_formula=BCBS_TX_IL_MT_NM_OK_Transfer%7CName](https://signnow.com/s/g7mePVmY?name_formula=BCBS_TX_IL_MT_NM_OK_Transfer%7CName)

Navigate to [https://producers.hcsc.net/producers/login?logout](https://producers.hcsc.net/producers/login?logout) and login. If you don't know your password, go through the Sign Up flow (instructions here: https://scribehow.com/shared/HCSC_Portal_Sign_Up__PRTLa569Rpquj-0wep-T-Q)

Enter the following information: New GA  ID--> 107864471 // New GA Name --> Spark Insurance Services LLC // Procuder's ID --> your ID; if unknown enter NPN // Procuder's Name --> your name! If you have an agency, enter both. The select "choose file" and upload the document you completed.

Click Submit. You should receive an email notification. We'll then follow up with the carrier!

GA Affiliation Form upload
To submit an Affiliation change for Medicare business, please complete, and upload the Producer Affiliation Change/Letter of Intent.
New GA/NMO/FMO ID
New GA/NMO/FMO Name
Producer's ID
Producer's Name
Affiliation File:
To appeal a request, download the Appeals form and send via email to your Relationship Manager.
At this time, we are not accepting Affiliation changes for Individual line of business
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HCSC (BCBS TX, IL, MT, NM, OK): Transfer Instructions