Partner Sign-up

Primary Contact (Agency representative completing this form)
If different from Agency Contact Information
Central Contact (Where Client confirmations are to be sent for your records)
If different from Agency Contact Information
Agency Contact Information
If applicable
For Client Confirmations & Commission Statements
Paperwork Requirements
Promotional Stock Requested
10 of each will be provided. If another amount required, please note in Additional Notes below.
Additional Notes
Our Partnership Agreement

Medi-Quote Insurance Brokers Obligations:

  • Respond to telephone, fax and email enquiries from the Agent as quickly as possible to allow them to carry on their business with their client with as little disruption as possible
  • Will provide brochures to the Agent so the Agent can promote the partnership they have with MQIB to sell travel insurance
  • Will update the Agent of changes to selling processes and applications as they are made by our suppliers
  • Client is marked in our system as your forever client, any and all future sales will be accredited to you
  • Will provide a 5% referral commission of net premium on each referral and future purchases from the client for Travel Insurance
  • Will provide a 2.5% referral commission of net premium on each referral and future purchases from the client for Health and Dental Insurance

Our Partners Obligations:

  • If the Agent refers the applicant to call Medi-Quote Insurance Brokers directly, the Agent shall comply with referral techniques (provided in the agreement, once application is approved) that are required to ensure proper client handoff and a good client experience and provide the applicant with the Medi-Quote Insurance Brokers phone number for completion of the quote and sale process.