866-412-2424 Claim Pay Agent Login Become a Conifer Agent The Conifer Holdings family of companies offers innovative niche market products through a network of independent agents and brokers. If you are interested in becoming an agency partner, please complete our agency appointment form. From there, you can expect to have a member of our team evaluate and reach out with further information on a potential appointment. [ACTIVE] Appointment Application - Shortened Version Agency Information Areas of Interest Your Name * Your Title * Your Email * ✉︎ How did you hear about Conifer Insurance Company? * Advertisement Competitor Quote Industry Referral Insurance Agency Association / Tradeshow IVAN's Market Appetite Marketing Email or Direct Mail Online Search Social Media Other How did you hear about Conifer Insurance Company? Agency Information Agency Legal Name * Agency DBA Name if applicable Agency Type * Independent Agency Wholesale Both Other Agency Type Agency Phone * Agency Physical Address * Agency Physical Address Agency Physical Address City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip/Postal Zip/Postal Agency Website Year Established Next Explore About Us Contact Us FAQs Blog Insurance Programs Cannabis Insurance Program CBD & Hemp Insurance Program Craft Beverage Insurance Program Food & Beverage Insurance Program Liquor Liability Insurance Program Marijuana Liability Insurance Program Workers’ Compensation Policyholders Make a Payment Claims Agents Appointment Request Applications Login Follow Us