• Agent Onboarding Form

    Agent Onboarding Form

  • Thank you for challenging yourself and taking your first steps to becoming an Independent Agent! After completing this form we can begin getting you contracted with the carriers/products you indicate below.

     

    As an Agency, we offer an opportunity for Independent Field Agents (1099 positions) to receive 100% commission/renewals for Life, Marketplace, Medicare, Medigap, and Ancillary products. 

     

    *Commission/Renewals are based on the CMS Agent-Broker Compensation Data for the contract year or an insurance carrier’s Commission Schedule, whichever is applicable.

     

    Agents MUST have an ACTIVE General Lines (Life, Accident, Health and HMO) license in order to join.

    For Medicare: Agents must have a current AHIP Certificate.

     

    If you do not have the required items, please contact info@crediblecoverage.com to discuss your options.

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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Which 1099 option are you interested in?
  • Would you like a company email ($12.99+tax/month, name@crediblecoverage.com)?
  • Which products are you interested in offering?*
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  • Are you willing to step out of your comfort zone?*
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