Welcome to Resource Brokerage’s Group Benefits Division.

✔ Get Contracted Now!
  
Group Ancillary
 
Please make your selection(s) from the carriers below:
 
Allied National – Dental & Vision
BCBSIL – Dental, Vision, Life, & DI
Humana – Dental, Vision, & Life
Int’l Medical Group (IMG) - Travel Medical Plans
MetLife – Dental, Vision, Life, & DI
Reliance Standard – Dental, Life, & DI
Trustmark – Dental & Life
 
 
 
 
 
Group Medical
 
Please make your selection(s) from the carriers below:
 
Allied National
BCBSIL
Humana
Trustmark
 
 
 
 
 
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.