Registering takes less than 10 minutes! To register as a USA InsureNet Agency, please fill in the information below. At the bottom, you will see the Agency Agreement. We will contact you shortly regarding your status as a USA InsureNet Agency for your territory.

User Information
Agency Information
This will be the email address used by prospects to inquire for specialty programs.
Please provide a fully qualified URL link. (Ex: http://www.example.com)
Agency Locations

Begin typing an address in the address field below and the system will give you choices based on your input. Select the correct choice to validate your address. Only selected addresses will be considered valid and added as a location. Phone numbers are optional.

Principal Contact Information
Other Agency Information

USA InsureNet Agency Agreement

This Agreement is made between USA Insurance Network® LLC and the above named Agency. As a Principal Representative of the above named Agency (hereinafter called "Agency"), I acknowledge the following:

  • I understand that USA InsureNet is an online platform/product of USA Insurance Network® LLC.
  • I have reviewed the USA InsureNet program and its benefits to both agencies and specialty insurance providers, and wish my agency to be considered as a USA InsureNet Agency.
  • I understand that USA InsureNet is a national network knowledge system that provides information on insurance specialty products for independent agencies, their clients and prospects, and is not a provider of any types of insurance contract relationships.
  • Agency covenants that Agency will indemnify and hold harmless USA Insurance Network® LLC from any and all fines, suits, proceedings, claims, demands or other actions arising or growing out of any problems, interactions or transactions that may occur between Agency, their clients or prospective clients, and any USA InsureNet approved Specialty Market Provider (SMP).
  • I am authorized to act on behalf of the Agency and have the ability to accept these terms and conditions.
  • I acknowledge that all information I have provided in this questionnaire is current and factual, and that any misrepresentation may result in the removal of Agency from the USA InsureNet program at USA InsureNet's sole discretion.
  • I understand that the selection of agencies for participation in the USA InsureNet program and the assignment of territories linked to each agency is at the sole discretion of USA InsureNet, such territories to be assigned by USA InsureNet using the general rule of one Agency per 100,000 population.
  • I understand that the initial term of this agreement shall be for one year from date of acceptance by USA InsureNet and shall be renewable upon the mutual consent of Agency and USA InsureNet.
  • I understand there is no fee or charge to the above named Agency for the term of this agreement as a USA InsureNet Agency.

As a Principal Representative of the above named Agency, I further acknowledge and agree to the following conditions:

  • I understand that USA InsureNet will create an Agency Landing Page immediately upon Agency's acceptance as a USA InsureNet Agency, and will send to me the Landing Page URL link for placement on the Agency website.
  • I agree that within 14 days from receiving the Agency Landing Page URL link from USA InsureNet, the Agency will create a "Specialty Insurance" or "Specialty Products" or "Our Specialties" button/navigation label on their website Home page to link to the Agency Landing Page, and that such button/navigation label will be highly visible and a stand-alone item on Agency's Home page menu.
  • I understand the importance and advantage of Agency notifying our existing client base of Agency's selection as a USA InsureNet Agency for the specified territory, and the new specialty coverages that will now be available to Agency clients and prospects as a result of this role.
  • I understand that for the benefit of the Agency and to help with Agency promotion efforts, USA InsureNet has provided free marketing tools, including sample emails and news releases, on the Marketing Dashboard of the USA InsureNet site for use by Agency.
  • I agree that the information provided in this application will be shared with Specialty Market Providers (SMP's) enrolled with USA InsureNet and that Agency agrees to receive product information from enrolled SMP's.
I agree to the above terms