Apply to become a registered agent to write policies with Beyond Floods, NatGen's Private Flood Product. This product is not affiliated with the National Flood Insurance Program.
Your Full Name *
Please ensure you list the licensed agent who will need to be authorized for binding flood policies
Your Agency's Name *
Your E-mail ID *
Your Phone Number *
Where is your agency located? *
City, State (list all top locations if multiple)
Your National Producer Number *
If you don't have this handy, please use the link here to look it up -
If you are currently registered to write any other insurance products with National General, please provide your Agent Code used to login to *
This is your user name. Do not enter your password. If you are not currently registered with National General, please enter 0
Are you affiliated with one or more of the following? *
Authorized Agency Representative for Signing Contracts *
List the name of the person who will be responsible for binding the Agency in contracts. If this is the same person requesting access, please re-enter here.
Title of Authorized Agency Representative for Signing Contracts *
eg. Managing Partner, Owner, President etc.
E-mail ID of Authorized Agency Representative for Signing Contracts *
Please identify all the states you and your agency are licensed for P&C business, where you want to write flood insurance: *
Our product is available in all the states listed here (except NY for the moment).
Do you have a Surplus Lines Broker license in all the states you wish to sell flood insurance in? *
We don't require you have a surplus lines license to write Beyond Floods in any of the listed states above, but we'd like to know this for future reference.
How did you hear about us? *
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