Become a Partner Agent

OUR SUBMISSION PROCESS

The LOOP: Partner Agent program is pre-launch. We are currently accepting appointment requests to select the inaugural LOOP Partner Agents.

We’re currently only writing business in Texas, and have plans to expand to Arizona in 2024.

Submit your information using this form.

Once you submit your information, we will review your submission.  We may reach out for additional information and/or to meet you.

We will select an inaugural cohort of LOOP: Partner Agents, and move on to Producer Agreements, licensing information verification, and login credentials.

BECOME A PARTNER AGENT

Principal Legal First Name

Principal Legal Last Name

Principal Email Address

Phone Number

Agency Type

• Independent Agency
• Market Access Provider
• Independent Sole Proprietor
• Wholesaler
• Aggregator
• MGA
• Other

Agency Name

Agency Website

Where is your agency based?

Principal Agent National Producer Number

When was your agency founded?

What is your agency's annual Gross Written Premium?

Select your range...

• $100,000 - $499,999
• $500,000 - $999,999
• $1,000,000 - $2,999,999
• $3,000,000 - $4,999,999
• $5,000,000 - $9,999,999
• $10,000,000 - $14,999,999
• $15,000,000+

What percentage is Private Passenger Auto?

How many employees does your agency have?

• 1-4
• 5-9
• 10-20
• 21+

How many Carrier appointments does your agency have?

• 1-4
• 5-9
• 10-20
• 21+

Select the states your agency is licensed to sell.

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Select your Agency Management System.

• Better Agency
• Ez Lynx
• Hawksoft
• QQ Catalyst
• Other

Select your Comparative Rater.

• Ez LyncPL Select
• I'm not using one
• Other

Thank you. We’ve received your submission. We’ll be in touch.