Prospective Brokers Welcome

Phone
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Candidate form
We appreciate every person, who applies to join our team. We do not promise we accept everyone, but if we accept we treat them as family members. INSURHAUS INC is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
Name*
First Last
Phone*
Email*
Residing State*
We welcome from every state, because we are licensed in every state

Do you wonder will we provide everything you have marked?
YES WE WILL!!! and many things more
Our technology, process and management structure allows us to give ability to agents/brokers to focus on what they know best. Provide service and coverage to CUSTOMER
Please answer several questions
Your answers will help us to understand what the best partnership can be
Do you have active insurance licenses*
- Yes
- No
Resident License issued by
Other states active licenses carried

How long you actively selling insurance*
What the book of business you do service now:*
Accounts per year Premiums per year Policies written per year
We do understand that you can not be precise, but our intention is to create environment suitable for every agent in our organization, and this information will be very helpful
Types of Customers you serve:*
Do you own the renewals*
We do have options for those who have books and who does not. We simply would like to know which way we do need to construct the offer.

Compensation
Our organization does not limit compensation. We do have unique setup and can provide structure, which allows everyone in our organization to reach goals and level of financial independence.
What type of compensation you prefer*
Type of employment preferred
What base compensation you expect per year*
Please enter a number from 1000 to 1000000.
What Commissions % you do expect from organization received amount*
Please enter a number from 1 to 100.

Other Information
Any other important information, you would like to share:
Please upload any other documents
Drop files here or

Max. file size: 5 MB.
5 Mb maximum size
Date you would like to join our team?*
MM slash DD slash YYYY

Thank You
We really appreciate your information, everything will go straight to decision maker in a company, because we are result oriented and trying not to be lost in process. That allows us to provide everyone in our team every single option you found in this form. We will come back shortly

Candidate form