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Agent Client Referral

Home/Agent Client Referral

Client Referral

  • Please fill out the form below to complete your Client Referral.





  • Please select N/A if agency is not listed


  • In cases where we are not able to reach the client by phone, an email will be sent to the client with the assigned OCI representative's contact information.


  • MM slash DD slash YYYY

  • Based on the information provided. Please visit the Shelter Decline Page for further instructions

  • Based on the information provided. Please visit the American Family Decline Page for further instructions

  • Based on the information provided. Please visit the Michigan Farm Bureau Decline Page for further instructions

  • Based on the information provided. Please visit the Missouri Farm Bureau Decline Page for further instructions

  • Based on the information provided. Please visit the Farmers Insurance Decline Page for further instructions

  • Unfortunately based on the information entered we currently do not have a product available at this time to meet your client's needs
  • OCI will try to accommodate all requests but there may be times where another agent is assigned if that particular agent is not licensed in the state or certified for the specific line of coverage
  • Policies written on groups of 3 or less do not result in a split of commission to the referring agent. Speak with your Sales Executive for any additional questions

About Us

OCI

Headquartered in Elkhorn, Nebraska, OCI Insurance & Financial Services, Inc., is an insurance general agency providing support to thousands of agents nationwide in the placement of these products and services.

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OCI Insurance & Financial Services, Insurance Agency, Elkhorn, NE

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Contact Us

402.330.8700
Toll free: 866.320.8700
Fax: 402.330.8706

4221 N. 203rd St, Ste 200
Elkhorn, NE 68022

Hours:
Monday – Thursday: 8:00 am – 5:00 pm
Friday: 8:00 am – 4:30 pm

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