Licensing

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Licensing

In order to write accounts and to be paid commission through Special Markets Insurance Consultants, Inc. (SMIC), you and your agency must be licensed and appointed with the carrier.

Click on the carrier name or product box for the appropriate licensing paperwork that needs to be filed with us.

Please mail completed forms to:

Special Markets Insurance Consultants, Inc.
 Licensing Department
2615 Post Road
Stevens Point, WI  54981

Completed forms can also be faxed to:

(715) 344-6126

Mutual of Omaha

Producer Agreement

W-9 Form

 

Sentry Life

Producer Agreement

W-9 Form

 

All Other Carriers

Licensing Data Sheet

W-9 Form

 


Need help or have questions on the forms, please call Tonia at (800) 727-7642 ext. 26.

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