Join Guardian Benefits

Complete the form below and our team will reach out within 1 business day to discuss your contracting and get you set up.

Your Application

All fields marked with * are required. This takes about 5 minutes.

I am applying as a...

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Independent Agent

Solo producer looking for better contracts & support

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Agency Owner

Building a team and looking for downline support

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

City *

State *

Licensing & Experience

National Producer Number (NPN)

Years of Insurance Experience *

Which product lines are you currently licensed or interested in? *

Hospital Indemnity Plans Home Health Care Plans Supplemental / Ancillary Products Life Insurance Supplemental / Ancillary Products Other / Not yet licensed

Your Goals

Are you currently with an FMO or upline?

What are you looking for in a new FMO partner? *

How did you hear about Guardian Benefits?

I agree to be contacted by Guardian Benefits Inc. by phone, email, or text regarding my application and partnership opportunities. Privacy Policy

I have read and agree to the Terms & Conditions.

Your information is protected. We will never sell your data to third parties.
Questions? Call us at (561) 289-1350

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Application Received!

Thanks for applying to join Guardian Benefits. A member of our team will reach out within 1 business day to discuss next steps.

Questions in the meantime? Call us at (561) 289-1350 or email [email protected]

Prefer to Talk First?

Our team is happy to answer questions before you apply.

📞 (561) 289-1350

✉️ [email protected]

Join Guardian Benefits

Your Application

Application Received!

What Happens Next?

What You'll Get Access To

Prefer to Talk First?