How to Become a Dearborn Group Producer

If you are a new Producer in IL, 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.