Managing General Agent

IC 27-1-33  and 760 IAC 1-52

An application packet is to be completed by an insurer's representative for each MGA it utilizes.

An application packet must be received by this Department within thirty (30) days after entering into a contract with the MGA

Please refer to the MGA application for further instructions.

    MGA Application

    Gross Direct Written Premium

    Contract Compliance Checklist 

    Biographical Affidavit

Please submit the application documents to: 

Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 103
Indianapolis, Indiana 46204-2787