Become an Agent Germania Independent Agent Information Are you interested in partnering with us? At Germania, we attribute our success as “The Insurance Texans Trust” to the partnership we share with our independent agents across Texas. If you are the owner of an independent agency and have been in business for a minimum of three years we would like to learn more about you. We are appointing agents in selected areas of the state. We are a Texas-based company, and we only partner with agents who are domiciled in Texas. We want to hear from you! If you are interested, please complete the form below for consideration. Please complete the form below Date of Agency Application: First Name Last Name Company Street City County: –None– ANDERSON ANDREWS ANGELINA ARANSAS ARCHER ARMSTRONG ATASCOSA AUSTIN BAILEY BANDERA BASTROP BAYLOR BEE BELL BEXAR BLANCO BORDEN BOSQUE BOWIE BRAZORIA BRAZOS BREWSTER BRISCOE BROOKS BROWN BURLESON BURNET CALDWELL CALHOUN CALLAHAN CAMERON CAMP CARSON CASS CASTRO CHAMBERS CHEROKEE CHILDRESS CLAY COCHRAN COKE COLEMAN COLLIN COLLINGSWORTH COLORADO COMAL COMANCHE CONCHO COOKE CORYELL COTTLE CRANE CROCKETT CROSBY CULBERSON DALLAM DALLAS DAWSON DEAF SMITH DELTA DENTON DEWITT DICKENS DIMMIT DONLEY DUVAL EASTLAND ECTOR EDWARDS EL PASO ELLIS ERATH FALLS FANNIN FAYETTE FISHER FLOYD FOARD FORT BEND FRANKLIN FREESTONE FRIO GAINES GALVESTON GARZA GILLESPIE GLASSCOCK GOLIAD GONZALES GRAY GRAYSON GREGG GRIMES GUADALUPE HALE HALL HAMILTON HANSFORD HARDEMAN HARDIN HARRIS HARRISON HARTLEY HASKELL HAYS HEMPHILL HENDERSON HIDALGO HILL HOCKLEY HOOD HOPKINS HOUSTON HOWARD HUDSPETH HUNT HUTCHINSON IRION JACK JACKSON JASPER JEFF DAVIS JEFFERSON JIM HOGG JIM WELLS JOHNSON JONES KARNES KAUFMAN KENDALL KENEDY KENT KERR KIMBLE KING KINNEY KLEBERG KNOX LA SALLE LAMAR LAMB LAMPASAS LAVACA LEE LEON LIBERTY LIMESTONE LIPSCOMB LIVE OAK LLANO LOVING LUBBOCK LYNN MADISON MARION MARTIN MASON MATAGORDA MAVERICK MCCULLOCH MCLENNAN MCMULLEN MEDINA MENARD MIDLAND MILAM MILLS MITCHELL MONTAGUE MONTGOMERY MOORE MORRIS MOTLEY NACOGDOCHES NAVARRO NEWTON NOLAN NUECES OCHILTREE OLDHAM ORANGE PALO PINTO PANOLA PARKER PARMER PECOS POLK POTTER PRESIDIO RAINS RANDALL REAGAN REAL RED RIVER REEVES REFUGIO ROBERTS ROBERTSON ROCKWALL RUNNELS RUSK SABINE SAN AUGUSTINE SAN JACINTO SAN PATRICIO SAN SABA SCHLEICHER SCURRY SHACKELFORD SHELBY SHERMAN SMITH SOMERVELL STARR STEPHENS STERLING STONEWALL SUTTON SWISHER TARRANT TAYLOR TERRELL TERRY THROCKMORTON TITUS TOM GREEN TRAVIS TRINITY TYLER UPSHUR UPTON UVALDE VAL VERDE VAN ZANDT VICTORIA WALKER WALLER WARD WASHINGTON WEBB WHARTON WHEELER WICHITA WILBARGER WILLACY WILLIAMSON WILSON WINKLER WISE WOOD YOAKUM YOUNG ZAPATA ZAVALA State/Province Zip Fax Phone Email Do you have an interactive website?: –None– Yes No Website Market using Social Media?: –None– Yes No Social Media Platforms Used?: Facebook Instagram LinkedIn Twitter Key Contact: Years of Ownership?: –None– 0-3 Years 3-5 Years 5+ Years Employees Licensed CSRs: –None– 1-5 Licenses 6-10 Licenses 11+ Licenses Number of Licensed Producers: –None– 1-5 Licenses 6-10 Licenses 11+ Licenses Number of Branch Offices: Branch Names and Locations: Licensed to do business in which states?: Alabama – AL Alaska – AK Arizona – AZ Arkansas – AR California – CA Colorado – CO Connecticut – CT Delaware – DE Florida – FL Georgia – GA Hawaii – HI Idaho – ID Illinois – IL Indiana – IN Iowa – IA Kansas – KS Kentucky – KY Louisiana – LA Maine – ME Maryland – MD Massachusetts – MA Michigan – MI Minnesota – MN Mississippi – MS Missouri – MO Montana – MT Nebraska – NE Nevada – NV New Hampshire – NH New Jersey – NJ New Mexico – NM New York – NY North Carolina – NC North Dakota – ND Ohio – OH Oklahoma – OK Oregon – OR Pennsylvania – PA Rhode Island – RI South Carolina – SC South Dakota – SD Tennessee – TN Texas – TX Utah – UT Vermont – VT Virginia – VA Washington – WA West Virginia – WV Wisconsin – WI Wyoming – WY What is the Agency Total Written Premium: –None– Less than $1 Million $1 Million – $3 Million $3 Million – $6 Million $6 Million – $15 Million $15 Million Book Breakdown of Personal Auto %: Book Breakdown of Home %: Book Breakdown of Commercial %: # Personal Lines Carriers Represented?: –None– 0-3 4-8 8+ Top 3 Personal Lines Carriers: Allstate ASI Hartford Homeowners of America Mercury Met Life National Lloyds Nationwide Progressive Safeco State Auto Travelers Wellington Other Carrier 1 Name: –None– Allstate ASI Hartford Homeowners of America Mercury Met Life National Lloyds Nationwide Progressive Safeco State Auto Travelers Wellington Other Carrier 1 Premium Volume: Carrier 1 Loss Ratio %: –None– 0-25% 25-50% 50-60% 60%+ Carrier 2 Name: –None– Allstate ASI Hartford Homeowners of America Mercury Met Life National Lloyds Nationwide Progressive Safeco State Auto Travelers Wellington Other Carrier 2 Premium Volume: Carrier 2 Loss Ratio %: –None– 0-25% 25-50% 50-60% 60%+ Carrier 3 Name: –None– Allstate ASI Hartford Homeowners of America Mercury Met Life National Lloyds Nationwide Progressive Safeco State Auto Travelers Wellington Other Carrier 3 Premium Volume: Carrier 3 Loss Ratio %: –None– 0-25% 25-50% 50-60% 60%+ Average Monthly New Quote-Personal Auto: –None– 0-25 quotes 25-50 quotes 50-75 quotes Average Monthly New Quote – Home: –None– 0-25 quotes 25-50 quotes 50-75 quotes Average Monthly Issue Rate-Personal Auto: Average Monthly Issue Rate – Home: Personal Auto Retention Ratio: Home Retention Ratio: Commercial Retention Ratio: Does the agency sell life insurance?: –None– Yes No Do you have a comparative rater?: –None– Yes No If yes, what rater do you have?: –None– EZ Lynx PL Rater ITC Turbo Rater Other None If Other, who is your rater?: Do you have a management system?: –None– Yes No Management System Used?: –None– Agency Advantage Agency Matrix Agency Software Agency Systems AMS Applied TAM Catalyst DORIS Ebix ASP Eclipse Epic EZ Lynx Hawksoft Instar Nexure Quick File SIS Other None If Other, provide name of system: Affiliated with a cluster or aggregator?: –None– Yes No If Yes, Provide name: Find an Agent Find Auto Repair Shop Roadside Assistance:855-548-3455 Real People, Real Testimonials Thank you for superb, explicit, detailed policies and service. I am very pleased with your Company and very glad I am one of your clients. Martha S. Germania Credit Union Become an Agent Site Map Agent Community Claims Handling Contact ©2021 • info@GermaniaInsurance.com • 800-392-2202 • Privacy Promise/Security •