Brokers & Agents:

Welcome Brokers!

HOW TO COMPLETE THE CONTRACTING REQUIREMENTS  
 

  1. Complete one copy of the attached "UniCare Appointment “ form (2 pages) and sign at the bottom of page 2. (download form .doc file) or (view html form)
     

  2. Complete one copy of the attached “COMMISSION AGREEMENT”! (download form .doc file)
     

  3. Complete a W9 (download form .doc file)
     

  4. Send us a copy of your state license – (if you want commissions paid to a licensed corporation, send a copy of your corporation license too)
      

  5. If you are located in a state where an appointment fee is charged, be advised that no appointment fee is necessary!
      

  6. Mail (or to save time FAX to (480) 821-9297 ALL of the above to:

    Insurance Services of
    America
    National Marketing Office
    1757 E. Baseline Road, Suite 126
    Gilbert, AZ  85233
     

  7. A sales and marketing kit along with a supply of brochures will be mailed to you upon receipt of your completed Producers Agreement.  Online brochures and applications are available, please call or email us for availability.


Please feel free to call us at 800-647-4589 
or email us with any questions regarding selling any of our products.