Partner with WMI - Wisconsin Mutual Insurance Company

Grow With a Trusted Regional Carrier

Partnering with Wisconsin Mutual means working with a company that values local expertise and long-term relationships. We provide competitive products, responsive underwriting, and dedicated support to help you serve your clients with confidence. Together, we can deliver personalized protection and strengthen the communities we call home.

Please complete the form below to apply for agency partnership with Wisconsin Mutual.

Provide all required information so we can review your application promptly. Once submitted, a member of our team will contact you with next steps.

Agency Application

Name:*
Email:*
Agency Name:*
Phone Number*
Agency Website:*
Agency Type:*
Address:*
City:*
State:*
Zip:*
Years in Business:*
Annual Volume:*
Percent of Commercial Business:*
Percent of Personal Business:*
Percent of Farm Business:*
Other business or occupation:*
#Of Active Employees at Agency - Sales Staff:*
#Of Active Employees at Agency - Office Staff:*
Name and Title of Persons to be Listed:*
Is Errors & Omissions Insurance carried?*
- Yes
- No
If yes, company:
If yes, Deductible:
If yes, Membership in "Trade" Associations:
Principal Owner Name:*
Email:*
Stake %:*
Other Owner or Partner Name:
Email:
Stake %:
How did you hear about us and why are you interested in working with us?*
COMPANY EXPERIENCE
Names of the current carriers represented in the agency:*
Carriers that have withdrawn or canceled this agency in the last 3 years: Name & Reason:*
Carriers that the agency has dropped: Name & Reason:*
Will business from other carriers be transferred to Wisconsin Mutual?*
- Yes
- No
If yes, volume of Auto: $
If yes, volume of Other Lines: $
Premium volume goal with Wisconsin Mutual in the 1st year: $*
THREE-YEAR LOSS RATIOS
1: Company / Earned Premium / Incurred Losses / Loss Ratio*
2:Company / Earned Premium / Incurred Losses / Loss Ratio
3: Company / Earned Premium / Incurred Losses / Loss Ratio
Agency applicant understands the minimum volume expected to produce, what facilities WMI offers, our commission schedule, our underwriting guides and binding authorities. We do not accept brokerage business, and as a part of our normal procedure for processing agency applications, we will conduct a routine investigation that may include a report on reputation, character, and financial stability.
Acknowledge:

Grow With a Trusted Regional Carrier

Agency Application

COMPANY EXPERIENCE

THREE-YEAR LOSS RATIOS

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