Please complete the form on this page so we can begin the process of setting up an account for your agency. Or, if you prefer, give us a call at 877-653-IPOA (4762).
As our agency partner, you’ll receive updates on new products, marketing tips, and industry news and developments. We look forward to helping you grow your business and increase your profits with our programs and specialty products.
New agency requirements:
- Minimum of 2 years in business
- Minimum of $1 million in current premium volume
- Minimum of $1 million in errors & omissions coverage
- Minimum of 2 standard markets
Please send the following required forms:
- Signed Brokerage Agreement (Request Brokerage Agreement)
- IRS W-9
- Copy of your agency license
- Copy of your E&O declarations page