APPOINTMENT PROCESS FOR LICENSED AGENTS:
For Applicants who currently hold an active license with the
Texas Department of Insurance (TDI).
One of the following insurance licenses is required.
Life Under $25,000
Life, Accident, Health and HMO
If you do not currently have one of the above licenses, please click here.
You must fill out the following forms: (Click below)
The New Agent Data Sheet
Code of Ethics Acknowledgement.
The Waiver and Authorization for Background Check.
ACH Payment Request (if desired)
Please mail completed forms to: United Benefits, Inc.
P O BOX 831670
Richardson, TX 75083-1670
Attn: Marketing Department