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888.331.3305
info@provideralliance.com

Liability insurance for the long term care industry
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Agent Area

The Provider Alliance, from LTC RPG, Inc., is distributed through qualified surplus lines agents and brokers on a direct and brokered basis. If you are interested in becoming a contracted agent, please complete and return these documents:

  • Agency Profile
  • Producer Agreement

The agency profile document provides us with basic demographic information and satisfies regulatory requirements to ensure that the producers that represent us are properly licensed.

The secure agent’s area of our site contains sales and marketing collateral to help explain the multiple benefits of the program, as well as other important information for your clients. If you are already a Provider Alliance agent and would like access to our secured agents area, please contact us to register for your secure login and password.

Documents
February 22, 2006
Producer Agreement
November 30, 2004
Eligibility Form
July 1, 2004
Program Announcement
July 1, 2004
Consider Alternative Risk Transfer
May 20, 2004
Document Checklist
May 20, 2004
New Agency Profile Form
May 20, 2004
Renewal Application

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