Request a Quote

We look forward to working with you! All brokers and Third Party Administrators are required to be appointed by our carriers for the states in which their groups are located. This includes all entities or individuals who receive commissions or sell/assist with any contracts underwritten by DRM.

Submissions for appointment should include.

  • Completed TPA Questionnaire
  • Copy of License in Applicable State
  • E & O Policy
  • Fidelity Bond
You can download the TPA questionnaire HERE