Contact Us! United Group Alliance is a top insurance aggregator by offering stability in a changing marketplace and the opportunity for rapid growth. We look forward to visiting with you. Please fill out this form and we will get in touch with you shortly. Primary Contact Name* First Last Agency NamePhone*Email* About your Agency?* I am an existing agency I am a start-up/new agency I am a current UGA member Years of Experience in P&C InsuranceP&C Carrier 1:Name & approximate volumeP&C Carrier 2:Name & approximate volumeP&C Carrier 3:Name & approximate volumeP&C VolumeAre you affiliated with any other network groups?Top 3 goals that UGA can help you achieve?Top 3 issues you're experiencing at your agency?How did you hear about UGA?ChooseAgent & BrokerDirect MailEmail from UGAGoogle / Bing / SearchReferral from a company repReferral from another memberSocial MediaOtherLocation* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Years of Experience in Insurance:Insurance Background (select):ChooseDirect Writer/CaptiveLife/Financial ServicesAgency ProducerOtherIf you were previously, or are now a directer writer, captive agent, or a producer for an agency, please indicate the name of the agency:If other, please describe:Top 3 goals that UGA can help you achieve?How did you hear about UGA?ChooseAgent & BrokerDirect MailEmail from UGAGoogle / Bing / SearchReferral from a company repReferral from another memberSocial MediaOtherLocation* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Comments, questions or additional information we should know about:
