Agent Code List
Risman – 20730
Byette – 20748
Coughlin – TBD
Crowley Weaver – 20123
Delaney – 20751
Garrett-Lynch Insurance – TBD
Healy Brothers – 20807
Hurley – 20750
Insurance Associates – 20761
LTB – TBD
PRI – 20693
TF Ward – 20752
Broker of Record (BOR) — Vermont Mutual
- Use a standard ACORD BOR and Vermont Mutual’s HO/DF BOR Supplemental Application.
- Download Vermont Mutual’s supplemental BOR form here: Vermont Mutual HO/DF BOR Supplemental Application (fillable PDF).
- Email the signed ACORD BOR and completed supplemental application to PL Underwriting.
- In the email, include the agency code you want the business assigned to and note the requested effective date.

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