Agent Portal Registration Form

New Agent Registration

After registering, you will be contacted by the NewmanLTC team to verify your information and access. Full access is usually granted in one business day. If you need something urgently and cannot wait for full access, please reach out to our wholesaling team at 800-625-9267, Option 1 or Quotes@NewmanLTC.com

You will have 10 days to set up two-factor authentication within your profile. NewmanLTC accepts the most common 2FA applications, but does not support SMS text or email authentication. Click here for instructions (PDF).

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Name(Required)

First Last

Email(Required)

Your email will be used as the primary identifier to log into the agent portal.

Enter Email Confirm Email

Phone

Select One:(Required)

I am currently appointed with a NewmanLTC insurer.

I am not currently appointed, but would like information on working with NewmanLTC.

I support an advisor who partners with NewmanLTC.

Advisor Name(Required)

Password(Required)

Password requirements: Strong password. Use a minimum of 12 characters that includes a combination of uppercase and lowercase letters. Numbers and symbols recommended.

Enter Password Confirm Password

Strength indicator

Having trouble setting up a Strong password? Click here for instructions (PDF).

This field is for validation purposes and should be left unchanged.

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