Agent Registration - USA Insurance Network

Thank you for your interest in USA Insurance Network (USA). Agents may use the following form to register.

Once registered, you will have access to an ever-growing list of specialty program and product underwriters. Your profile will also be available to use on literature and resources you download as part of our Customized Agency Sales Tools (CAST) feature on many industry and product pages.

Your information will be shared with the specialty underwriters that you express interest in or you choose to contact. We do NOT sell our producer list. We will email you 4x/year on the industries and products you express interest in, and you may opt-out or change email frequency at any time.

Is user logged in? (hidden)
You are already logged-in so registration is disabled.
Email*

Email address to be associated with user login account. The email to display on printable pdfs is below as "company email".
Username*
Usernames can not be changed after registration. We recommend first initial and last name (example: jdoe).
Password*
Enter Password Confirm Password
First Name*
Last Name*
Company Name*
Company Website
Which best describes your brokerage?*
Company Address*
City*
State*
Zip*
Company Phone
Company Fax
Company Email

NOTE: This Email to be displayed on printable pdfs.
National Producer Number (NPN)
To look up NPN click here
Choose Membership Type*
Please Select up to 10 Specialties.
First select the category and then the specialty in that category. These will be used in connection with our Specialty Agent Locator.
Specialty (1)
Specialty (2)
Specialty (3)
Specialty (4)
Specialty (5)
Specialty (6)
Specialty (7)
Specialty (8)
Specialty (9)
Specialty (10)
USA Insurance Network Agency User Agreement*
I agree to the USA Insurance Network Agency User Agreement.
USA Insurance Network Agency User Agreement

This Agreement is made between USA Insurance Network, LLC and the User seeking registration and access. By accepting this Agreement, the User acknowledges and agrees to the following:
• I understand that USA Insurance Network is an online product of USA Insurance Network, LLC and Vertibrands, Inc., and is a lead and demand generation platform.
• I acknowledge that I am an insurance professional and work for a licensed insurance agency or brokerage.
• It is my wish to add my contact information and that of my agency to be considered as a USA Insurance Network Agent.
• I understand that USA Insurance Network is not itself a provider of any type of insurance contract relationships but rather a distributor of third-party resources.
• User agrees that s/he will indemnify and hold harmless USA Insurance Network, LLC from any and all fines, suits, proceedings, claims, demands or other actions arising or growing out of any problems, interactions or transactions that may occur between the User, their Agency, their clients or prospective clients, and any USA Insurance Network Market Provider, sponsor or affiliate.
• User acknowledges that in the course of business they may receive information deemed confidential or restricted and they agree not to share such information with others.
• I understand that participation in this network does not guarantee or imply that placements will be automatically accepted by sponsoring Providers and specialty underwriters and that such affiliation/acceptance is the responsibility of the Agency and Provider to establish between themselves. User will not claim or imply to be an appointed agent or representative prior to their actual acceptance as same by the Provider.
• I acknowledge that I, my Agency employer and its representatives are duly licensed in the state(s) where I will conduct business.
• I acknowledge that all information I have provided is current and factual, and that any misrepresentation may result in the removal of the User and their Agency from the USA Insurance Network program.
• I understand that access to the USA Insurance Network program is at the sole discretion of USA Insurance Network., LLC.
• I agree that the contact information provided in this registration may be shared with insurance buyers seeking your service and that User agrees to the sharing of this information so they may contact you.
• I agree that the contact information provided in this registration may be shared with Market Providers, sponsors and affiliates of USA Insurance Network and that User agrees to receive Resource materials on their products or services.
CAPTCHA
* = required field.

Please Select up to 10 Specialties.

Quick Links

USA Insurance Network