Get Appointed with New England Excess Exchange

Welcome to our growing network of agents!

New England Excess Exchange (NEEE) is a Wholesale Broker and MGA providing specialty insurance solutions to independent retail agents. We understand that you may not need us every day and may only need us once a month which is why we do not have a volume requirement. Our team is ready to help when you need a solution.

Complete the agreement below to begin the appointment process. We do not require an agreement to quote, but it will be required prior to binding any business with NEEE. If you want to try us out before completing the agreement, click here to submit a risk to us and see how we can help.

Get Appointed

"*" indicates required fields

Principle Owner*

Principal/Owner First Name Principal/Owner Last Name

Job Title*

Email*

Direct Phone Number*

Agency Name*

Main Office Phone*

Fax Number

Toll Free Number

Agency Website

Mailing Address*

City*

State/Region*

Postal Code*

Physical Address

(If different than mailing)

City

State/Region

Postal Code

Accounting Information

Accounting Contact Name*

Accounting Contact Phone (Direct)

Centralized Billing Email*

Accounting Address

City

State

Postal Code

Untitled

Yes, I understand and agree to receive all policy documents electronically.

Department Contacts

Primary Commercial Lines Contact

Phone

Primary Personal Lines Contact

Phone

Licensing and Required Documents

Current Copy of W-9*

Click here to download a blank W9

Max. file size: 50 MB.

E&O Policy Declarations Page*

Drop files here or

Max. file size: 50 MB.

Resident and Non-Resident Agency Licenses*

Drop files here or

Max. file size: 50 MB.

Resident and Non-Resident Agent Licenses*

Drop files here or

Max. file size: 50 MB.

Signed Producer Agreement*

Max. file size: 50 MB.

Please attach a copy of a fully executed Producer Agreement. To complete the Producer Agreement please download the agreement file on this page, complete the form, save the file and attach the file below:

Marketing Details

How did you hear about us?*

Commonly placed E&S risks:*

Please list any current Wholesale Brokers/MGA partners:*

Insurance Coverage*

I acknowledge that insurance coverage and/or claims cannot be submitted, bound, amended, cancelled, changed, or managed through this contact form.

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