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IMG Producer Area

IMG Producer Area

New Producer Contracting

IMG New Producer Contracting

Please complete the form below to contract with IMG in order to sell our international insurance plans. If you are already contracted with IMG and need access to our online Producer Area, please go to the "New User Registration Form".

Please note, this is only for licensed insurance agents.  If you are a current policy holder and wish to manage your insurance plan, please go to MyIMG.

Primary Email * 
Confirm Primary Email * 

   
State Licensed *   
License Number * 
Contract Name * 
Contact Person First/Last Name *   
Address * 
Address 2 
City * 
State * 
Postal Code * 
Country of Residence/Place of Business * 
Telephone Number * 
Fax Number 
Website 

Type of Producer
Based on the previous selection, the following information is required:
D/b/a name, if any
Country of Formation/Incorporation *
State of Formation/Incorporation
Other, Describe *

For Tax Reporting Purposes, use the following: 
 

COMPENSATION SCHEDULE - AGENT
PRODUCER, INDIVIDUAL INSURANCE PRODUCTS

Commissions and renewal commissions equal to the percentages shown shall apply to premiums received on Certificates placed in force under this Producer Agreement (Agent) during the effectiveness of this Schedule, excluding applicable taxes, if any. Commissions and renewal commissions, bonuses or other compensation which IMG pays directly to Sub-Producers or their executors, administrators, surviving spouses, or estates.

  Commission (%)
Certificate Year 1
Renewal commissions (%)
Certificate Years 2 plus
Patriot Series 10 N/A
Global Series 15 5
GEO / GEM 6 (Dental 4%) 6 (Dental 4%)


Monthly Commissions are calculated using the following formula:

Monthly Gross Premium - Applicable Surplus Lines Taxes X Commission Percentage = Gross Commission

Additional Comments 
Signature * 

Password * 
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