Welcome to Resource Brokerage’s Individual Disability Division.

✔ Get Contracted Now!
 
Disability Income
 
Please make your selection(s) from the carriers below:
 
Ameritas
Assurity
Berkshire (Guardian)
Fidelity Security
Lloyd's of London
MassMutual
Mutual of Omaha
Principal
Standard
 
 
 
 
 
Critical Illness
 
Please make your selection(s) from the carriers below:
 
Assurity
LifeSecure
Mutual of Omaha
 
 
 
 
 
Are you currently contracted with Resource Brokerage for any carrier?
 
No
Yes
 
 
 
 
 
 
 
 
 
 
 
 
 
Thank you for requesting to work with Resource Brokerage for those selected carrier(s). Please complete the fields below, so that we can get to know you.
 
 
 
First Name*
 
 
 
 
Last Name*
 
 
 
 
NPN*
 
 
 
 
Phone Number
 
 
 
 
Agency Name
 
 
 
 
Are commissions payable to you (SS#) or to an agency (FEIN)?
If paid to agency, please enter the agency NPN below.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please provide your email if blank, and "Submit" form. Thank You
 
 
 
 
Email
 
 
 
 
 
 
 
Note: After clicking “Submit,” you will be redirected to Resource Brokerage’s Contracting webpage, and your request will be submitted to our contracting department for processing. Please understand we may need to reach out to you for more information. Finally, please feel free to request additional lines or carriers.