Contract Now - Senior Marketing Specialists

At Senior Marketing Specialists, we have one goal–to do everything we can to help the independent agent become successful in the Senior Market. We genuinely care about the agents we work with and want to help them succeed.

To initiate contracting with a carrier or product you can give us a call at 1-800-689-2800 or simply fill out the form below and one of our trusted specialists will reach out to you with assistance.

We look forward to working with you soon!

Contracting Initiation Form

First Name *

Last Name *

Email Address *

Phone Number *

Resident State *

Non-Resident States *

If you have a specific carrier you are looking to add to your portfolio, list it here. *

What is your advancing preference on commissions? *

As Earned

6 Month

9 Month

Maximum Advancing Available

Do you want your commission paid to your SSN or to your agency TIN? *

SSN

TIN

Please provide your TIN. *

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