Agent Appointment Request | Conifer Insurance

Effective March 20th, 2019, Conifer has suspended cancellation of policies due to non-payment of premium for clients who indicate financial impact by the recent COVID-19 outbreak and are experiencing trouble making a payment. Additionally, late pay fees have been waived at this time.


Become a Conifer Agent

The Conifer Holdings family of companies offers innovative niche market products through a network of independent agents and brokers.

If you are interested in becoming an agency partner, please complete our agency appointment form. From there, you can expect to have a member of our team evaluate and reach out with further information on a potential appointment.

[ACTIVE] Appointment Application - Shortened Version

Agency Information

if applicable
Agency Physical Address *
Agency Physical Address

Program Interest

Please Select the Program(s) of Interest
Please note: Not all programs are available in all states.