Horter Insurance Solutions Onboarding

In order to get you started in the process of working with us please complete the onboarding form below!

Onboarding Form

Application Date *

Legal First Name *

Legal Last Name *

Address *

City *

State *

Postal code *

Phone *

Email *

Social Secruity Number *

NPN *

(Please type NA if not yet licensed)

Resident License State *

(What it WILL be if not yet licensed)

Non Resident States *

(Please type NA if not yet licensed)

What carriers are you currently contracted with? *

Do you have a clean vector record? *

Yes

No

Agents who do not have a clean vector record will be automatically placed on as earned status and no advances will be paid until the vector is cleared.

By signing below you agree to contract with Master Agency Management, LLC [including all affiliated master agencies] to provide insurance-related services, including policy underwriting, claims processing, customer support, and administrative tasks. This agreement will be in effect from the date of this signature. Either party may terminate the agreement with 90 days written notice. Upon termination, any outstanding debt must be repaid before release will be secured. Both parties will maintain confidentiality and adhere to relevant laws. Compensation details will be outlined in a separate document. The agreement is governed by the laws of Texas. Please sign below to indicate your acceptance of the terms.

Agent Agreement *

Clear