How to Become a Dearborn Group Producer

If you are a new Producer in IL, MI, MT, NM, OK, or TX, please contact the Commission Department at (800) 352-3935 before proceeding.

To start your onboarding process for the first time, please complete this online application, which includes the following:

• Agent Request for Appointment
• Agent Agreement/Product Addendum
• W-9 Form
• Investigative/Consumer Report Authorization

If you have already started your onboarding process, please click here to complete your application. If you are viewing an error page after following this URL please clear your browser history and cookies then close all open browser windows before accessing the onboarding application again. Your login name will be the email you entered when starting the application.

We also have various agent appointment due diligence rules to comply with individual state department of insurance guidelines. Please see the attached PDF for state specific details.