Sign up Now!
Complete our online Participation Agreement
today and if approved, you'll receive your account information the next business day!
Need to purchase a policy today?
Select the plan you wish to purchase by using the "Select a Plan" button to the left. Record the confirmation
number you receive at the end of the transaction. Then contact an inside sales representative
(see below) and they will credit the transaction to your account once it is created.
Update Agency Information
Current partners who need to update their agency information can complete a W-9 and fax to 800-762-8120. Changes to company
name or consortium affiliation will require a new Participation Agreement.
Contact us by email insidesales@allianzassistance.com
or by phone (866) 333-7874.