Become a RPS/CSR Producer

Please fill out the information below. A member of our business development team will be in touch with you to discuss your application.

Contact Information
Your Name:
Agency Name:
Email:
Phone:

Agency Makeup
What size accounts are your agency's focus?
Does your agency have minimum revenue requirements on accounts?
How many producers do you have in your agency?
What percentage of your business is:
Personal
Commercial
Territory
From which states, cities, counties do you solicit business?
Growth
In the last 3 years, how would you describe the growth trend of your agency?
What has been the reason for your growth trend?
Marketing
Do you have a person or department who markets business or do individual producers/CSRs market business?
Is there a particular product or market you wish to access in the E&S marketplace?
Current MGAs
How much premium do you place in the wholesale market?
Who was the last MGA you took on?
Are you satisfied with your current MGA relationships?
If you answered no above, please explain:

Thank you for taking the time to fill out our Prospective Producer Survey!