Would you like to get an appointment with Connect MGA?
- Will you agree to minimum sales requirement for your agency?
- Do you, the owner, actively participate in the management and day to day operations of your agency?
- Will you agree to follow our product guidelines and do your best to accurately price each Insured?
If you answered “Yes” to the above three questions, you are likely a good fit for us. Call Keith Moon at 214-587-2381 after filling out the application packet below. You’ll find the following documents within the packet:
- Agency Application Packet
- W-9
- ACH Authorization Form
- Producer Agreement
- Indemnity Agreement
- Copy of your E&O
Texas Agents - Connect Producer Application
1 file(s) 4.49 MB
Oklahoma Agents - Connect Producer Application
1 file(s) 4.32 MB
Utah Agents - Connect Producer Application
1 file(s) 4.31 MB
Would you like to have broker access to Reliant General Insurance Services?
California Brokers – Reliant General Producer Questionnaire
1 file(s) 1.99 MB