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Managing General Agent

IC 27-1-33 and 760 IAC 1-52

To allow sufficient time for processing the application with attachments is requested to be submitted thirty (30) days prior to expiration. Once the application and materials are approved, a new license will be mailed to 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 300
Indianapolis, Indiana 46204-2787