Acquiring Books of Business
The questionnaire you’re about to complete will be made available to potential sellers through PIPAC will create a bio using the information you enter here and sellers will contact you if they think you would be a good fit for their block of business and clients.
First & Last Name *
Your answer
Agency Name *
Your answer
Agency Address 1 *
Your answer
Agency Address 2
Your answer
Agency City *
Your answer
Agency Zip Code *
Your answer
Agency State *
Your answer
Phone *
Your answer
Email *
Your answer
If your agency has more than one location, please list the city and state of each location below.
Your answer
How long has your agency been in business? *
Your answer
What is approximate breakdown of your current block of business? (Doesn't need to be 100% accurate, we just need a general idea.) *
0%
10%
20%
30%
40%
50%
60%
70%
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100%
Small Group Health (1-50 lives)
Large Group Health (51+lives)
Individual Under 65 Health
Individual Health Over 65 Health/ Medicare
Personal Lines
Commercial Lines
Life Insurance
Crop Insurance
Other
Is there anything else to consider here?
Your answer
Please select the types of business you're interested in acquiring. *
Required
Other types of business you're interested in acquiring
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Please select the geographic limitations you would like for any business you would like to acquire:
If a potential seller is looking to pick a buyer, why should they choose you?
Your answer
If we didn't ask the right question or there's something else you want sellers to know about you, please write it here.
Your answer
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