Travelers of Massachusetts
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Become an Agent



If you are interested in becoming a Travelers of Massachusetts agent, please complete and submit the form below. We will respond via e-mail or phone as quickly as possible.


Agency Name:
Address:
City/Town:
Phone:
Principal Name:
E-mail:

Additional Agency Location(s):

Total number of additional locations:
City/Town State

General Agency Information

1. Is your agency a Voluntary Agent or Exclusive Representative Producer (EPR)?
2. Total number of agency employees:
Number of Personal insurance employees:
Number of Commercial insurance employees:
3. Does your agency have a dedicated Personal Insurance New Business Producer?
4. Name of E&O Carrier for agency?
5. Does your agency have a perpetuation plan?
6. Does your agency have an agency management system?
If so, please provide the vendor name & version:
7. Does your agency upload with any carrier(s)?
8. Does your agency utilize Direct Loss Reporting with any carrier(s)?
9. Does your agency participate in any service center with any carrier(s)?

Agency Carrier & Premium Information:

10. Total Agency Premium Volume:
Personal Insurance %:
Commercial Insurance%:
11. Please list all Massachusetts Personal Insurance Companies your agency is appointed with:
Carrier Name 2007 Written Premium Loss Ratio

12. Is there a book transfer opportunity?
13. What is the premium volume your agency is willing to commit by year end 2007?

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