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 Louisiana, South Carolina, North Carolina and/or Texas, we invite you to contact us today.

Submission Form:

Agency Name*
Agency DBA Name, if applicable
Agency Principal's Name*
Agency Principal's Phone Number*
Agency Principal's Email Address*
Key Contact's Name*
First Last
Key Contact's Phone Number
Key Contact's Email Address
Address*
Street Address Address Line 2 City State ZIP / 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 value between 0 and 100.
What percentage (%) of your book of business is Commercial Lines?*
Please enter a value between 0 and 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? (%)*
Please enter a value between 0 and 100.
Do you use a competitive rater?*
Have you previously been appointed or worked for an agency that was appointed with Lighthouse Property Insurance Corporation?*
If you answered "Yes" to the previous question, please explain.*
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?*
Name
This field is for validation purposes and should be left unchanged.

* required

If you cannot submit this form, please contact Laura Crowell, Lighthouse Agency Support Coordinator, at lcrowell@lhmgt.com or call (321)710-0851.

Copyright © 2018 Lighthouse Management, LLC. Website Terms of Use and Privacy Policy. Lighthouse Management, LLC is a licensed MGA representing Lighthouse Property Insurance Corporation, an admitted property and casualty insurance company authorized to write in Louisiana, South Carolina, North Carolina, and Texas. Insurance products are issued and underwritten by Lighthouse Property Insurance Corporation. Insurance coverage is subject to underwriting review and approval. Products may not be available in all states.

Become an Agent

Become a Lighthouse Agent

Submission Form:

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