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 become a Dearborn Group producer, complete this online application, which includes the following:

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

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.