Commission Inquiry

Submit a Commission Inquiry Request
Please allow a processing period of 7-10 business days for your request completion. For ACA policies, further details might be necessary, which could extend the processing time if information from a carrier is needed. 
 Submit a form for each policy you are inquiring about.

By submitting this form, you are giving permission for Premier Insurance Contracts, Inc., (PRINSUCO) and its affiliated companies to use the information provided to contact you via email or phone call.