Agency Resources

Please follow the links below to our program applications. You will also find details about becoming an appointed broker and premium payment options available to your agency. If you have any questions please don’t hesitate to contact us.

Program Applications

Become a Broker

Prior to binding we need a completed Agency Agreement and Agency Information Form. Be sure to include the additional items noted in the Agency Information Form and email your appointment request to

Payment Options

By Mail – Payment may be made by check, cashier’s check or money order. Remit to:
Impact Programs, 4300 Shawnee Mission Parkway, Suite 300, Fairway, KS 66205

By Credit Card or ACH

If you have any questions regarding payment please contact us.

Contact Us

Phone: (913) 218-3910

Available Exclusively through Impact Programs

All of our programs are available on a national basis and exclusively through Impact Programs and its affiliates. With these programs you can position your agency as a market specialist in our targeted industries, offering a powerful combination of industry leading coverage, responsive claims management and competitive pricing. To learn more about submitting a risk, please click here or call us at (913) 218-3910.