Partner with LifeMap

We’re excited you’re interested in becoming a LifeMap producer. When you work with us, you have the strength and financial stability of a partner always here to support you. Plus, choices to offer your clients that reduce costs, expand access to care, and improve health and well-being.

Get appointed

Our producer application should only take you a few minutes to complete. Once you’ve submitted it, you can expect to hear back from us within ten business days.

Follow the steps below to get started.

Be Ready

Have your agency and producer license numbers, W-9 with your EIN or social security number, E&O insurance in your name, and a voided check for EFT on hand.

Fill Out Form

  1. Download the PDF iconPDF application (right click and save as)
  2. Complete all the questions and save the application
  3. Click on "Submit Form" directly below and follow the indicated instructions

Submit Form

Please submit your completed application to the Agent Onboarding team by clicking here.

We’re here for you

For questions regarding the status of your application and agent onboarding, please contact our Agent Desk at 1(503) 225-4960.