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BROKER/AGENCY SIGN UP

BROKER SIGN UP


Requirements - Please read for directions

The contracting and appointment process does not begin until the following requirements are received and completed.  


Please Complete This Checklist:

___ Errors and Omission (E&O) coverage certificate with a minimum of $1 million in coverage

___ Current copy of your insurance license(s), resident and non-resident, in states where you will solicit business

___ Mutual Non-Disclosure Agreement (
download here and complete)

___ Sales Agent Agreement (
download here and complete)

___ W-9 Form (
download here and complete)

Email all documents to:  TomHenke@asonepartners.com

AGENCY SIGN UP

 

Requirements - Please read for directions

The contracting and appointment process does not begin until the following requirements are received and completed.  

Please Complete This Checklist:

___ Copy of Articles of Incorporation

___ Employer Identification Number (EIN) verification

___ Errors and Omission (E&O) coverage certificate with a minimum of $1 million in coverage

___ Current copy of your insurance license(s), resident and non-resident, in states where you will solicit business

___ Mutual Non-Disclosure Agreement (
download here and complete)

___ Sales Agency Agreement (
download here and complete)

___ W-9 Form (
download here and complete)

Email all documents to:  TomHenke@asonepartners.com
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