Brown n Brown
Insurance 
Administration Center SM

. ABOUT US
. BENEFITS OF
THE RRPP
. TARGET(SIC)
MARKETS
. PROGRAM
PARAMETERS
. COVERAGES
. PROSPECTIVE
AGENT
. PROSPECTIVE
INSUREDS
. OTHER COMMERCIAL
PROGRAMS
. CONTACT
INFORMATION
. NETWORK AGENTS
ONLY

The Railroad Protector Plan (RRPP)
Agency Profile Form

RRPP

If you would like to download a printable Agency Profile form, select to download the file in either MicroSoft Word or Adobe PDF formats. You may also fill out the form located below.

Date:
Agency Name:
D.B.A. (if applicable):
Street Address:
Street City: State:
Zip:
P.O. Box:
P.O. Box City: State:
Zip:
Telephone:
Toll Free Number:
Fax Number:
County: Year Estb:
Agency Vendor Software Used:
Agency Website Address:
FEIN#:
Agency Owner/CEO/Pres. Name:
E&O Carrier: Effective: Limit: $1,000,000 min
Are you part of a cluster?: Yes No


Agency Producers: E-mail Address: Years of Experience:


Agency Contact for Insurance Administration Center:
Person responsible for signing contracts and addenda
 E-Mail Address:
Marketing Mgr. Name:
 E-Mail Address:

Property/Casualty Profile

Total Agency Income/Premium: P&C Income/Premium:
% Commercial Lines: % Personal Lines:

Top Five Insurance Companies Represented

  Company Income/Premium
1.
2.
3.
4.
5.

 

Program Profile

Agency Name:
Program:


Who will be assigned to sell this program:

Name Phone Email Address


Who is assigned to receive marketing materials and distribute to other producers in addition to discussions and responsibility of this Program:

Alternate Contact

How much business do you write in this program segment currently?

What companies do you use to write this business:

Company Volume Comm %

How many submissions per month can you commit to sending the program in the next:
Six Months:   One Year:

Is there a coverage critical to writing this business in your agency?

What is your top company doing to write this segment of business for you?

Who is your main competitor:

Agency Name:

Company Name:

Please describe how you plan to market this program:

In what States will you need to be appointed? (Please realize there may be appointment expenses in each non-resident state.)


 

All submitted information will be received by:

Kathy Reimann, CIC
Insurance Administration Center
Toll Free (800) 338-1935, ext. 4025 or direct (813) 222-4025
Fax (813) 222-4040
kreimann@bbprograms.com

 


Legal Notices | Privacy Statement

ABOUT US | BENEFITS OF THE RRPP | TARGET (SIC) MARKETS | COVERAGES
PROSPECTIVE AGENT | PROSPECTIVE INSUREDS | OTHER COMMERCIAL PROGRAMS
PROGRAM PARAMETERS | CONTACT INFORMATION | NETWORK AGENTS ONLY

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