Phil-Am Insurance Agency

Get Contracted

Start your contracting request below. Enter your NPN to auto-fill your producer information, then complete the remaining fields.

1 Verify Your Producer License
Don't know your NPN? Look it up at NIPR →
Please enter a valid NPN (6–10 digits).
2 Your Information
✦ Fields marked with a dashed border were auto-filled from your NIPR record. Please verify they are correct.
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3 Mailing Address
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4 E&O Insurance
Please select an option.
5 Carrier Appointments

Select all you would like to contract with.

Please select at least one line of business.
6 Review & Submit

That’s everything we need for your contracting request. After you submit, we’ll send you to a secure page where you can upload your onboarding documents (headshot, E&O, AHIP, FFM, AML, release letter, voided check).

By submitting, you authorize Phil-Am Insurance Agency to initiate the contracting process on your behalf. Your information is handled securely and never sold.

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Request Received!

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Last Step
Upload Your Documents
Send us your headshot, E&O, certifications, and any other onboarding docs. All uploads are optional — submit what you have.
Continue to Upload Documents →
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Need help? Email admin@philamagency.com or call 346-483-5016.