MIFB Agent Appointment – OCi Services

Getting Set Up With OCI - MIFB Agent

OCI has been supporting agents with the products, tools, and services to help agents serve their clients and increase their income since 2002.

Completion of this form will set you up with OCI as your general agency partner, as well as set you up on our platform.

PLEASE NOTE: After you are set up with OCI, you will need to get contracted with the carrier(s) that you plan to sell. Completing this form does not get you contracted with a carrier.
Full Name*
First M.I. Last
Preferred Name
Social Security Number*
Date of Birth:*
MM slash DD slash YYYY
Phone*
Business Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
License Information
National Producer Number*
Copy of License(s)*
Drop files here or

Max. file size: 100 MB.
Do you have a copy of your own E&O coverage?*
- Yes
- No
Copy of E&O*
Max. file size: 100 MB.
Annuities
Will you be writing annuities with OCI?
- Yes
- No
Please upload your Annuity Suitability Training Certificate.
Max. file size: 100 MB.
AML Training
Have you completed AML training through LIMRA?
- Yes
- No
How did you hear about us?*
Protecting your private information is important to OCI Insurance & Financial Services, Inc (“OCI”) and our employees. We want you to understand what information we collect and how we use it. In order to provide our customers with a broad range of products and services as effectively and conveniently as possible, we use technology to manage and maintain customer information. The following policy serves as a standard for all OCI employees for collection, use, retention, and security of nonpublic personal information.
View OCI Privacy Policy
I certify that I have downloaded and read the above privacy statement.*
- I Agree
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Getting Set Up With OCI - MIFB Agent

License Information

Annuities

AML Training