New Agent Form

Benefits of Becoming an Agent

By requesting a private, one-on-one consultation, we will show you how Rendon Insurance can help you grow your business, answer your questions, help you choose the appropriate carriers, and set you up with the best commission schedule available.

As an Agent, General Agent, or Managing General Agent who associates with Rendon Insurance (an affiliate of Senior Health Services) you will receive all of the following benefits and services:

100% INDEPENDENCE
You are 100% Independent. You own all rights to your clients, commissions and renewals. You do not need to assign your commissions.

DIRECT CONTRACTS
Your contracts are direct with each insurance company and are 100% vested from the first policy written. You are not captive. You will have access to all the quality health products in your area, even products that may have production requirements for individual agents.

MANY CARRIERS TO CHOOSE FROM
We offer the top Insurance carriers in the industry, including Aetna, United Healthcare, and Humana. (Each agent has the option to contract with any carrier in their respective state)

TOP COMMISSIONS
You will be paid top level commissions in the industry and will have no production requirements with us for most contract levels. We offer Advanced Commission contracts with most insurance companies.

BUSINESS GROWTH GUIDANCE AND ASSISTANCE
Rendon Insurance will directly help you recruit, train and grow your business which will allow you to qualify for higher carrier contract levels.

SUPPORT SERVICES PROVIDED TO YOU AT NO COST
We offer training webinars on product knowledge, prospecting, pre-qualifying, presenting, closing, using technology, and much more.

Name*

First NameMiddle NameLast Name

Sex*

MaleFemale

Email*

example@example.com

Cell Phone*

Please enter a valid phone number.

Home Phone

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Social Security Number*

No Dashes

Insurance Licensed?*

YesNo

National Producer Number

Corporate Information if Contracting as an Agency

Agency Name

Agency Tax ID #

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Necessary Documents Needed

Rendon Insurance will need copies of the following for the contracting process:

1. Current copy of Insurance License(s)/Agency License(s) per state

2. Current copy of your E&O certificate

3. Voided check for direct deposits

4. Explanation/supporting documents for any potential contracting issues

5. Any Releases, if needed, that have been secured.

Please include all necessary documents when you submit the New Agent form.

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How did you hear about us?

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A Rendon Insurance representative will be in contact with you within 24-48 hours to discuss your next steps.