To receive commission, you must be appointed as a broker with American Specialty Insurance & Risk Services, Inc. If your office is already appointed but has not yet received an American Specialty Express Agency Commission Code, email us at firstname.lastname@example.org and we will send it to you.
If your office is not yet appointed, you will need to take the following steps:
- Step 1 - Complete an American Specialty Broker Agreement.
- Step 2 - Provide the following:
o Form W-9 Click here to Download Form W-9
o A copy of your resident license and, if applicable, non-resident licenses for each state in which you want to work with us.
o A copy of your agency’s corporate license.
o Evidence of Professional Liability coverage with at least $1,000,000 Occurrence limit.
o Evidence of Employee Dishonesty coverage coverage with at least $100,000 limit.
- Step 3 - Please send the above items to email@example.com or mail them to the address below:
American Specialty Insurance
Attention: Jenni Fritz
7609 W. Jefferson Blvd, Suite 100
Fort Wayne, IN 46804