Let's Work Together!

EBS is seeking to develop partnerships with successful insurance agents who are in the group health/employee benefits business on a full-time basis, and
plan on continuing in that business for the foreseeable future.

This questionnaire is designed to assist both you (the insurance professional) and EBS in determining whether a mutually beneficial relationship can develop.
Please complete and submit the EBS Prospective Agent Questionnaire and an EBS team member will contact you shortly.

Please call us with any questions at 601.353.0002 or email us at proposals@ebsincms.com.

Please complete the following information:

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