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Marketing Profile – New Business
Marketing Profile – New Business
Trustpoint New Business Marketing Profile
Step
1
of
5
20%
Preliminary Questions
Is the prospect entered in AMS360?
*
Yes
No
STOP
You must enter in the system before proceeding.
Has Trustpoint previously written or quoted?
*
Yes
No
Producer
*
Belcher, Kris
Bucher, Roy
Coleman, Kevin
Cuddy, Eric
Greear, Carl
Rittenhouse, Scott
Robertson, Bradley
Salazar, Sebastian
Stanton, Rob
Strong, Reece
Swindell, Bob
Warner, Marco
Not Listed
Enter Producer Name
*
Enter Producer Email
*
General Information
Prospect Name
*
Prospect Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Prospect NAICS Code
*
Please use ZYWAVE's Broker Briefcase to confirm this code.
Have you completed a "pain questionnaire"?
*
Yes
No
Good for you!
Your chances of winning are significantly improved as a result of this work. Please upload a copy of the pain questionnaire with this web form to share with the team.
What are you waiting for?
Your chances of winning are significantly improved when you go through a pain questionnaire with your prospect. Please talk to your sales manager about making this part of your process.
Number of Employees
*
List States With Employees
*
Expiration Date (or first up if multiple)
*
MM slash DD slash YYYY
At least 45 days lead time is recommended.
Need by Date
*
MM slash DD slash YYYY
Proposals will be delivered a minimum of 3 days prior to expiration and maximum of 30 days prior to expiration.
Select Line of Business Opportunities
*
Property & Casualty
Life & Health
Personal Lines
Select all that Apply to Current Marketing Needs
Identify the type of buyer.
*
Economic
User
Cheerleader
Probability of Winning
*
Please enter a number from
0
to
100
.
Enter the percentage chance that you will close this opportunity.
What are the primary P&C lines of coverage being marketed?
*
Property
General Liability
Automobile
Workers' Compensation
Umbrella
Professional Liability
Other
Describe Other P&C Lines
*
What are the primary L&H lines of coverage being marketed?
*
Medical
Dental
Vision
Life
Disability
Other
Describe Other L&H Lines
*
Competitor/Incumbent Information
Property & Casualty Lines
Current Insurance Company - Primary P&C Lines
*
Current Insurance Company - WC Line
*
Current Agency - P&C Lines
*
Years with current P&C agency?
Please enter a number from
0
to
100
.
Satisfaction with current P&C agency?
*
Please enter a number from
1
to
10
.
Use scale of 1 - 10. 1 = Not at all / 10 = Extremely
Explain why satisfied or dissatisfied.
Is the prospect using outside consultant?
*
Yes
No
Are other outside agents involved?
*
Yes
No
Has the prospect assigned markets?
*
Yes
No
Consultant Name
*
Other Agent Name(s)
*
1st - Market Assignment
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
2nd - Market Assignment
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
None
3rd - Market Assignment
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
None
1st - Market Selection
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
2nd - Market Selection
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
None
3rd - Market Selection
*
Auto Owners
C N A
Hanover
Selective
Travelers
Utica
Eastern Alliacne
Key Risk
Other
None
1st - Other Market
*
2nd - Other Market
*
3rd - Other Market
*
Life & Health Lines
Current Insurance Company - Primary L&H Lines
*
Current Agency - L&H Lines
*
Years with current L&H agency?
Please enter a number from
0
to
100
.
Satisfaction with current L&H agency?
*
Please enter a number from
1
to
10
.
Use scale of 1 - 10. 1 = Not at all / 10 = Extremely
Explain why satisfied or dissatisfied.
Is the prospect using outside consultant?
*
Yes
No
Are other outside agents involved?
*
Yes
No
Has the prospect assigned markets?
*
Yes
No
Consultant Name
*
Other Agent Name(s)
*
1st - Market Assignment
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
2nd - Market Assignment
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
None
3rd - Market Assignment
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
None
1st - Market Selection
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
2nd - Market Selection
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
None
3rd - Market Selection
*
Aetna
Anthem BlueCross BlueShield
BlueCross BlueShield of Tennessee
Optima Health
United Healthcare
Other
None
1st - Other Market
*
2nd - Other Market
*
3rd - Other Market
*
Marketing Narrative
Executive Summary
*
Describe the operations, history and leadership. Include prospect's attitude towards loss control/risk management.
Why is the prospect out to market?
*
Describe the prospects motivation for looking at options this year.
With regards to the P&C what can we do that the current agent is not and the prospect is under-served as a result.
*
Loss Control / Risk Management
Claims Management
Policy Management
Coverage / Exposure Gaps
Premium Savings
Other
Nothing
Describe what we can do in more detail.
With regards to the L&H what can we do that the current agent is not and the prospect is under-served as a result.
*
Technology/Enrollment platform
Compliance Support
HR Support
Alternative funding strategies (level, self, etc.)
Open Enrollment/Communication Support
Other
Nothing
Describe what we can do in more detail.
Target Premium for Property
*
Please enter a number greater than or equal to
0
.
Target Premium for General Liability
*
Please enter a number greater than or equal to
0
.
Target Premium for Auto
*
Please enter a number greater than or equal to
0
.
Target Premium for Workers' Compensation
*
Please enter a number greater than or equal to
0
.
Target Premium for Umbrella
*
Please enter a number greater than or equal to
0
.
Target Premium for Professional Liability
*
Please enter a number greater than or equal to
0
.
Estimated P&C Revenue
*
Please enter a number greater than or equal to
0
.
Estimated L&H Revenue
*
Please enter a number greater than or equal to
0
.
Minimum of a 3 year loss summary must completed and attached in the upload section on next page.
Documents and Additional Comments
Please create a shared folder to collect documents such as exposure schedules, pictures, loss runs, ect. Share the folder with Will Faddis.
Additional Comments
Δ
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