Become an "FBI Agent!"

Appointment Requirements

Agents wanting to join First Benefits Insurance Mutual, Inc. please contact Peg Pirrotta or click here for an agent packet.

The appointment is simple. All you need is:

• A copy of the NC P&L License for each agent placing business with FBI
• Appointment of NC Agent form for each agent placing business with FBI
• A copy of the declaration page of your E&O policy
  ($1 million minimum required)
• A completed W-9 Form (see www.irs.gov/pub/irs-pdf/fw9.pdf for instructions)
• A completed Agency Agreement
• (If incorporated) A copy of your corporate license

Upon receipt of the completed packet, we will mail out to each agent appointed the underwriting guidelines.

To terminate an Agent click here for the form.

It's Simple!