top of page

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)

Got Questions?  844.275.7763 OR info@jkbconsultgroup.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)

Got Questions?  844.275.7763 OR info@jkbconsultgroup.com

bottom of page