You will be required to provide copies of all licenses and your current Errors & Omissions declaration page or certificate, with an insurance company that has a AM Best rating of A-7 or better, so we may approve to activate your account. The Broker Agreement will need to be signed by both parties and returned to us.
- Completed Appointment Form
- Errors & Omissions Policy
- Company Licenses
- Producer Licenses
- User List for Avante (Quoting, Policy & Accounting System)
- API key from USD GoPay/MVRnow
- Signed Broker Agreement
It is your responsibility to provide to us renewals and changes in personnel to remain in compliance with the Broker Agreement.
I hereby affirm, under penalty of perjury, that the information provided in this application is true and accurate. Maya Assurance Company conducts background checks on all Brokerages, their Owners, Principals, and Partners. Your signature below authorizes Maya Assurance Company to conduct such an investigation.