For Applicants who currently hold an active license with the

Texas Department of Insurance (TDI).

One of the following insurance licenses is required.

  1. Life Under $25,000

  2. Life, Accident, Health and HMO

  3. Pre-Need

If you do not currently have one of the above licenses, please click here.


You must fill out the following forms: (Click below)                    

  1. The New Agent Data Sheet

  2. Code of Ethics Acknowledgement.

  3. The Waiver and Authorization for Background Check.

  4. ACH Payment Request (if desired)

Please mail completed forms to: United Benefits, Inc.

P O BOX 831670

Richardson, TX 75083-1670

Attn: Marketing Department