Agency/Agent Appointment Application

Agents appointed by MEC are provided with a wide range of resources to assist them in acquiring new business and retaining their existing accounts.

Strategic Relationships

We are excited that you’d like to join our family of high-performance insurance agents and grow your excess workers compensation insurance business with us.

To be considered for an appointment with MEC you must:

Be a licensed agent in good standing with your respective State Department(s) of Insurance.
Have an active agent Errors & Omissions (E&O) Policy with a minimum aggregate limit of $1,000,000.
Complete our online Agent Appointment Application.

The following information must be submitted to establish your proper appointment with Midwest Employers Casualty Company. Appointment fees will be paid by MEC.

* All fields are required unless otherwise specified

Initial Request

Update/Change Request

Agency Information

Legal Name

Address

Suite/Floor

City/Town

State

Zip/Postal Code

Type

FEIN

Phone

Agent Information

Name

Title

Phone

Address

Suite/Floor

City/Town

State

Zip/Postal Code

National Producer Number

Licensing/Remittance Contact (Statements/Invoices)

Same as Agent

Name

Title

Phone

Address

Suite/Floor

City/Town

State

Zip/Postal code

CAPTCHA

Math question 1 + 2 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

The information you provide will be used in accordance with the terms of our privacy policy.