Step 1: Overview of the Application Process

Please review the information below about the Biz To Biz Insurance Associate Application.
Instructions for Completing the Biz To Biz Insurance Associate Application
  1. Fill out the Associate Application
    • Please provide all of the requested Personal and Contact information and answer the questions in the Background Questionnaire. You can go "Save" or "Exit" the application at any time and complete the application later.
  2. Accept the Terms of Use For Biz To Biz Insurance Connect
    • Please review and accept the terms of use for Biz To Biz Insurance Connect.
  3. Enrollment Processing Fee - $0.00
    • Your Associate Application will not be submitted to Biz To Biz Insurance until you click the "Submit and Complete My Application" button at the end of the application process and your payment of the enrollment fee has successfully been processed. Your card will not be charged unless your application is accepted and an account is created to access Biz To Biz Insurance Connect.
Before you proceed, please make sure you have the following information:
  1. Your Social Security Number. Biz To Biz Insurance and its affiliates and subsidiaries are required by Federal law to obtain your Social Security Number tax reporting purposes. The number you provide must correspond to your legal name.
  2. Your Personal and Contact Information. This includes your current address, e-mail address, phone numbers, and date of birth.
  3. Credit Card Information. You will be asked to pay a non-refundable $0.00 enrollment processing fee as part of the Application. Please have the exact name on your credit card, expiration date, and billing address ready.
Important Disclaimers:
All information submitted is subject to our Privacy Policy.