insurance broker of record letter template

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as of this date, agency name is appointed broker/agent of record for insured with respect to its type insurance program (“coverage”) listed above. this appointment rescinds all previous appointments, if any; and this authorization will remain in full force and effect until canceled in writing by us. this letter authorizes agency name to negotiate with any insurance carrier with respect to the coverage. however, agency name will not be responsible for any deficiencies in, or any return premiums and/or commissions due, on any insurance not placed by agency name. this letter also authorizes any underwriter to furnish agency name representatives with all information on any and all insurance contracts, rates, rating schedules, surveys, reserves, retention, or other data related to this coverage that they might need. agency name has made no representation about the availability of insurance coverage, the reasonableness of its terms, or the financial solvency of any insurer.

broker of record letter. (on insured’s letterhead). [date]. [insurance company name]. re: [named insured]. the letter should be on the client’s own stationary. please be advised that, effective (date), i have appointed (agency name, address) as my exclusive agent and broker for the above noted insurance policies. this letter supersedes any previously issued agent-of-record letters. (to be on client letter head). (sample). broker of record letter. date. cdphp. 500 patroon creek blvd is (street address), as our sole insurance representative with respect to coverage provided o , acord 36 instructions, acord 36 instructions, sample insurance agent release letter, insurance broker letter of exclusivity, insurance agent authorization letter.

to whom it might concern: as of this date, agency name is appointed broker/agent of record for insured with respect to its type insurance program (“coverage”) listed above. this letter authorizes agency name to negotiate with any insurance carrier with respect to the coverage. previously completed for any other insurance representative for the stated lines of business. insured’s signature. sample aor letter (from insured). [date] [insurance company name] [address]. re: agent of record letter, acord fillable aor, broker letter of authorization, broker letter of authorization, hartford broker of record change form, change agent form

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