Become an Agent

Join the Lighthouse Excalibur family

Lighthouse Excalibur partners with top agencies in Louisiana to serve our policyholders. We have designed a geographically diverse strategy that allows our agents some exclusivity in their respective territory while giving us a balanced spread of risk. Please complete all fields below and a member of our Sales Team will contact you to review our voluntary program details.

(Submission of the below form does not guarantee an appointment with Lighthouse Excalibur Insurance Company.)

Submission Form:

Agency Name*
Agency DBA Name, if applicable
Agency Principal's Name*
Agency Principal's Phone Number*
Agency Principal's Email Address*
Key Contact's Name*
First Last
Key Contact's Phone Number
Key Contact's Email Address
Address*
Street Address Address Line 2 City State ZIP / Postal Code
County/Parish*
Agency Phone Number*
Agency Fax Number
Agency Website
Please indicate what type of organization your agency is.*
Agency Premium Volume ($)*
What percentage (%) of your book of business is Personal Lines?*
Please enter a value between 0 and 100.
What percentage (%) of your book of business is Commercial Lines?*
Please enter a value between 0 and 100.
Does your agency pursue small commercial business?*
- Yes
- No
Does your agency utilize BOP and Commercial Property for these risks where the TIV is $5M or less?*
- Yes
- No
How much of this type of business does your agency write?*
Length of time your agency has been in business.*
Number of Homeowners policies written per month.*
Number of Flood policies written per month.*
Who are your top five (5) Personal Lines Carriers?*
What is your Personal Lines Pure Loss Ratio? (%)*
Please enter a value between 0 and 100.
Do you use a competitive rater?*
Have you previously been appointed or worked for an agency that was appointed with Lighthouse Excalibur Insurance Company?*
If you answered "Yes" to the previous question, please explain.*
Why do you believe an appointment with Lighthouse Excalibur Insurance Company would be mutually beneficial?*
Is there any additional information you would like to include in your application?
How did you hear about us?*
Comments
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Copyright © 2019 Lighthouse Management, LLC. Website Terms of Use and Privacy Policy. Lighthouse Management, LLC is a licensed MGA representing Lighthouse Excalibur Insurance Company, an admitted property and casualty insurance company authorized to write in Louisiana. Insurance products are issued and underwritten by Lighthouse Excalibur Insurance Company. Insurance coverage is subject to underwriting review and approval. Products may not be available in all states.