Become an Agent

Become a Lighthouse Agent

We believe in strong, independent agency partnerships. Not only do we strongly stand behind each of our policies, but as a family-owned company, we truly care for our agents. If you have a current Property & Casualty license in Florida, Louisiana, North Carolina, South Carolina, and Texas; we invite you to contact us today.

Submission Form:

Agency Name *

DBA, if applicable

Agency Pricipal's Name *

Agency Principal's Phone Number *

Principal's Email Address *

Key Contact's First Name *

Key Contact's Last Name *

Key Contact's Phone Number

Key Contact's Email Address

Street Address *

Address 2

City *

State *

Postal Code

County/Parish

Writing State *

Please select the state your agency will be writing in. If different than these options, please explain in the additional information section below.

Agency Phone Number *

Agency Fax Number

Agency Website

Please indicate what type of organization your agency is. *

Agency Premium Volume ($) *

What percentage (%) of your book of business is Personal Lines? *

Please enter a number from 0 to 100.

What percentage (%) of your book of business is Commercial Lines? *

Please enter a number from 0 to 100.

Does your agency pursue small commercial business? *

Yes:

No:

Does your agency utilize BOP and Commercial Property for these risks where the TIV is $5M or less? *

Yes:

No:

How much of this type business does your agency write? *

Length of time your agency has been in business. *

Number of Homeowners policies written per month. *

Number of Flood policies written per month. *

Who are your top five (5) Personal Lines Carriers? *

What is your Personal Lines Pure Loss Ratio? (%) *

Do you use a competitive rater? *

Have you previously been appointed or worked for an agency that was appointed with Lighthouse Property Insurance Corporation? *

Yes:

No:

Why do you believe an appointment with Lighthouse Property Insurance Corporation would be mutually beneficial? *

Is there any additional information you would like to include in your application?

How did you hear about us? *

* required