Broker Of Record Form

A Broker of Record (BOR) Form is a legal document used to authorize a new insurance broker to represent a policyholder and manage their existing insurance policies. It typically includes the policyholder’s name, policy numbers, insurer information, effective date of change, and signatures of both the client and the new broker. This form enables the transfer of service rights without altering the underlying coverage.
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Consent

Key Highlights

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Authorizes Broker Change Without New Coverage

Transfers representation while retaining current policies.
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Includes Key Policy & Contact Information

Identifies insured, insurer, new broker, and effective transfer date.
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Used for Commercial & Personal Insurance

Applicable across auto, health, property, and business lines.

Frequently Asked Questions

It designates a new broker to manage your existing insurance policies and communicate with your insurer on your behalf.
No, it changes your broker but keeps your existing insurance policy in place.
Yes, as long as the form is valid and signed by the policyholder, the insurer must recognize the new broker.
Yes, but insurers may set limits on how often you can switch within a given policy term.

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