account-sandbox.markel.com Open in urlscan Pro
13.248.244.122 Public Scan

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Submitted URL:
http://www-pre.markelonline.com/
Effective URL:
https://account-sandbox.markel.com/oauth2/default/v1/authorize?client_id=0oa9whbjsK1J4r6xA1d6&scope=openid%20profile%20mol_access&r...
Submission Tags: phish.gg anti.fish automated Search All
Submission: On December 06 via api (December 6th 2023, 11:26:16 pm UTC) from DE — Scanned from DE

Form analysis
9 forms found in the DOM

<form novalidate="" class="markel ng-untouched ng-pristine ng-valid">
  <div class="section-header">
    <h3 class="h2">Which best describes you?</h3>
  </div>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend class="screen-reader-text">Choose the role that best describes you.</legend>
      <div class="form-input--radio"><input id="policy-holder" type="radio" name="type" value="policy-holder" class="ng-untouched ng-pristine ng-valid"><label for="policy-holder">I am a Markel policyholder.</label></div>
      <div class="form-input--radio"><input id="appointed-retail" type="radio" name="type" value="retail" class="ng-untouched ng-pristine ng-valid"><label for="appointed-retail">I am an appointed retail agent or an agency associate.</label></div>
      <div class="form-input--radio"><input id="wholesale" type="radio" name="type" value="wholesale" class="ng-untouched ng-pristine ng-valid"><label for="wholesale">I am an appointed wholesale broker, MGA, or agency associate.</label></div>
      <div class="form-input--radio"><input id="agency" type="radio" name="type" value="agency" class="ng-untouched ng-pristine ng-valid"><label for="agency">I am looking for an appointment for my agency or brokerage.</label></div>
      <div class="form-input--radio"><input id="not-sure" type="radio" name="type" value="help" class="ng-untouched ng-pristine ng-valid"><label for="not-sure">I’m actually not sure what to do, and I need help.</label></div>
    </div>
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" class="error">Please choose the best option.</span></div>
  </fieldset><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

Name: policy-holder-lookup-form —

<form novalidate="" name="policy-holder-lookup-form" class="ng-untouched ng-pristine ng-invalid">
  <div class="form-input-error callout"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error"> We were unable to uniquely identify your account. Please double check your account or policy number and zip
      code and then try again. If this error persists, please contact customer support at 888-500-3344. </span></div>
  <div class="form-input"><label for="policy-holder-account-number">Markel account number or policy number</label><input type="text" id="policyholder-account-number" name="acctNumber" required="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted">Please enter a valid account number.</span><!----></div>
  </div>
  <p><em><strong>Quick tip:</strong> Your Markel account number and policy number can be found on the invoice or payment schedule. When making a payment, please be aware each billing account needs to be paid separately to ensure accurate posting of
      your payment. <br><br> If you need additional assistance, please call us at 888-500-3344. 8:00 a.m.-8:00 p.m., ET, Monday through Friday.</em></p>
  <div class="form-input"><label for="policy-holder-zip">Mailing Zip Code</label><input type="text" id="policyholder-zip" name="policyholder-zip" pattern="[\d]{5}" placeholder="Enter a five character zip code" required=""
      class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted">Please enter a five digit zip code.</span><!----></div>
  </div>
  <div id="loader-modal" class="loader-modal">
    <div class="loader-modal-wrapper">
      <p>Please wait while we gather your information</p>
    </div>
  </div>
  <div id="one-time-pay-email" class="form-input"><label for="policy-holder-pay-a-bill-email">Email Address</label><input type="email" id="policyholder-pay-a-bill-email" name="policyholder-email" required="" email=""
      class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted">Please enter a valid email address.</span><!----></div>
  </div>
  <div><input id="policy-holder-verify" type="submit" value="Verify account"><span class="mkl-btn-arrow"></span></div>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>How would you like to register?</legend>
      <div class="form-input--radio"><input type="radio" id="appointed-retail-licensed-producer" name="type" required="" value="licensed" class="ng-untouched ng-pristine ng-invalid"><label for="appointed-retail-licensed-producer">I am a licensed
          insurance producer, and I need an mPortal login.</label></div>
      <div class="accordion">
        <p class="accordion-content-header">Learn more <span class="arrow-right"></span></p>
        <div class="accordion-content collapsed" aria-expanded="false">
          <p>Features include:</p>
          <ul>
            <li>Ability to be selected as the licensed insurance agent on accounts submitted under your profile.</li>
            <li>Once the online application is submitted, you will be appointed with Markel Corporation affiliated insurers and authorized to write Markel Specialty Commercial business in all states you are actively licensed.</li>
            <li>A social security number is not required to become appointed with Markel, only your national producer number (NPN) is needed.</li>
            <li>Eligibility to enroll in the Markel Rewards program.</li>
          </ul>
        </div>
      </div>
      <div class="form-input--radio"><input type="radio" id="appointed-retail-not-licensed" name="type" required="" value="unlicensed" class="ng-untouched ng-pristine ng-invalid"><label for="appointed-retail-not-licensed">I am an associate of the
          agency, and I do not have an insurance license, and need an mPortal login.</label></div>
      <div class="accordion">
        <p class="accordion-content-header">Learn more <span class="arrow-right"></span></p>
        <div class="accordion-content collapsed" aria-expanded="false">
          <p>If you do not have an active insurance license, or only need access to submit, view, or service accounts, this is the option for you. Completing this simple form grants you access to your mPortal login. This is also a great option for
            agency associates needing a view of policy billing details, online commission statements, and/or account information and history.</p>
        </div>
      </div>
    </div>
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please select at least one option to proceed. </span><!----></div>
  </fieldset><!----><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <fieldset>
    <legend><strong>Applicant individual background questions</strong></legend>
  </fieldset>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 1. Do you have delinquent unpaid debts exceeding, in total, $10,000? (Add together consumer debt, tax liens, loans, child support payments, alimony payments, civil judgements and other delinquent debt.) </legend>
      <div class="form-input--radio"><input type="radio" id="delinquent-debts-yes" name="delinquent-debts" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="delinquent-debts-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="delinquent-debts-no" name="delinquent-debts" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="delinquent-debts-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 2. With the exception of situations specific to continuing education, have you ever been the subject of an administrative proceeding regarding any professional or occupational license that resulted in disciplinary action? </legend>
      <div class="form-input--radio"><input type="radio" id="administrative-proceeding-yes" name="administrative-proceeding" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="administrative-proceeding-yes">Yes</label>
      </div>
      <div class="form-input--radio"><input type="radio" id="administrative-proceeding-no" name="administrative-proceeding" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="administrative-proceeding-no">No</label>
      </div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 3. Have you filed for, or been discharged from any bankruptcy (including personal bankruptcy), insolvency or assignment for the benefit of creditors with a filing or discharge date, whichever is later, in the last 5 years? </legend>
      <div class="form-input--radio"><input type="radio" id="bankruptcy-yes" name="bankruptcy" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="bankruptcy-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="bankruptcy-no" name="bankruptcy" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="bankruptcy-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 4. With the exception of situations specific to continuing education, has your insurance license ever been suspended or revoked by any regulatory agency or have you ever surrendered your insurance license or been fined, penalized,
        sanctioned or subject to any other disciplinary action by a state or federal regulatory agency, including any current investigations by a regulatory agency as a result of your activities in the business of insurance? </legend>
      <div class="form-input--radio"><input type="radio" id="license-suspended-yes" name="license-suspended" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="license-suspended-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="license-suspended-no" name="license-suspended" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="license-suspended-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 5. Have you ever had an insurance agency contract or any other business relationship with an insurance company terminated for any alleged misconduct? </legend>
      <div class="form-input--radio"><input type="radio" id="contract-terminated-yes" name="contract-terminated" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="contract-terminated-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="contract-terminated-no" name="contract-terminated" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="contract-terminated-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 6. Are you currently under investigation for or have ever been convicted of, plead guilty or no contest to, any misdemeanor involving dishonesty or breach of trust or any felony? </legend>
      <div class="form-input--radio"><input type="radio" id="misdemeanor-or-felony-yes" name="misdemeanor-or-felony" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="misdemeanor-or-felony-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="misdemeanor-or-felony-no" name="misdemeanor-or-felony" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="misdemeanor-or-felony-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> 7. Are you now subject of any complaint, investigation or proceeding that could result in a yes answer to any of the previous questions? </legend>
      <div class="form-input--radio"><input type="radio" id="investigation-yes" name="investigation" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="investigation-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="investigation-no" name="investigation" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="investigation-no">No</label></div>
    </div><!---->
  </fieldset><!---->
  <p class="top-border"> I hereby certify all of the information herein is accurate and complete and any falsification, misrepresentation or omission of information from this form may result in withholding or withdrawal of any state appointment by
    Markel Service, Incorporated for its affiliated insurance companies. Any fines or penalties resulting will be the responsibility of the applicant. </p>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>Terms and conditions</legend>
      <div class="form-input--checkbox"><input type="checkbox" id="terms-agree" name="terms" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="terms-agree">You consent and agree that your affirmative selection of the
          below button on this electronic form constitutes your signature, acceptance and agreement as if actually signed by you in writing.</label></div>
    </div><!---->
  </fieldset><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div class="form-row">
    <div class="form-input"><label for="retail-agency-name">Agency name</label><input type="text" id="retail-agency-name" name="retail-agency-name" required="" class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter an Agency name. </span><!----></div>
    </div>
    <div class="form-input"><label for="retail-agency-address">Agency address</label><input type="text" id="retail-agency-address" name="retail-agency-address" required="" class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter an Agency address. </span><!----></div>
    </div>
  </div><!----><!----><!----><!----><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-valid">
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>Which lines of business do you write? (must select at least one)</legend>
      <div class="form-row"><mat-form-field appearance="fill" class="form-input"><input type="text" placeholder="Click here or begin type to filter lines of buisness." matinput="" class="mat-mdc-autocomplete-trigger ng-untouched ng-pristine ng-valid"
            autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="listbox"><!----><mat-autocomplete ngskiphydration=""
            class="mat-mdc-autocomplete ng-tns-c2908120749-0"><!----></mat-autocomplete></mat-form-field><mat-icon role="img" aria-label="close" class="mat-icon notranslate close_input hidden material-icons mat-ligature-font mat-icon-no-color"
          aria-hidden="true" data-mat-icon-type="font">close</mat-icon></div><!---->
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error"> Please select at least one option to proceed. </span></div>
    </div>
  </fieldset>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>Which of the below industry specializations are you interested in? (must select at least one)</legend>
      <div class="form-row"><mat-form-field appearance="fill" class="form-input"><input type="text" placeholder="Click here or begin type to filter industry specializations." matinput=""
            class="mat-mdc-autocomplete-trigger ng-untouched ng-pristine ng-valid" autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="listbox"><!----><mat-autocomplete ngskiphydration=""
            class="mat-mdc-autocomplete ng-tns-c2908120749-1"><!----></mat-autocomplete></mat-form-field><mat-icon role="img" aria-label="close" class="mat-icon notranslate close_input hidden material-icons mat-ligature-font mat-icon-no-color"
          aria-hidden="true" data-mat-icon-type="font">close</mat-icon></div><!---->
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error"> Please select at least one option to proceed. </span></div>
    </div>
  </fieldset><!----><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div class="form-row">
    <div class="form-input"><label for="first-name">First name</label><input type="text" id="first-name" name="first-name" required="" class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter a first name. </span><!----></div>
    </div>
    <div class="form-input"><label for="last-name">Last name</label><input type="text" id="last-name" name="last-name" required="" class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter a last name. </span><!----></div>
    </div>
  </div>
  <div class="form-input"><label for="job-title">Job title</label><input type="text" id="job-title" name="job-title" required="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter a job title. </span><!----></div>
  </div>
  <fieldset id="job-role-group">
    <legend>Job role(s)</legend>
    <div class="fieldset-wrapper">
      <div class="form-row">
        <div class="padding-right-1">
          <div class="form-input--checkbox"><input type="checkbox" id="role-accounting" name="role-accounting" class="ng-untouched ng-pristine ng-valid"><label for="role-accounting">Accounting</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-asst-broker-underwriter" name="role-asst-broker-underwriter" class="ng-untouched ng-pristine ng-valid"><label for="role-asst-broker-underwriter">Assistant
              Broker/Underwriter</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-broker-underwriter" name="role-broker-underwriter" class="ng-untouched ng-pristine ng-valid"><label for="role-broker-underwriter">Broker/Underwriter</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-branch-manager" name="role-branch-manager" class="ng-untouched ng-pristine ng-valid"><label for="role-branch-manager">Branch Manager</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-claims" name="role-claims" class="ng-untouched ng-pristine ng-valid"><label for="role-claims">Claims</label></div>
        </div>
        <div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-it" name="role-it" class="ng-untouched ng-pristine ng-valid"><label for="role-it">IT</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-marketing" name="role-marketing" class="ng-untouched ng-pristine ng-valid"><label for="role-marketing">Marketing</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-operations" name="role-operations" class="ng-untouched ng-pristine ng-valid"><label for="role-operations">Operations</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-policy-issuance" name="role-policy-issuance" class="ng-untouched ng-pristine ng-valid"><label for="role-policy-issuance">Policy Issuance</label></div>
          <div class="form-input--checkbox"><input type="checkbox" id="role-principal" name="role-principal" class="ng-untouched ng-pristine ng-valid"><label for="role-principal">Principal</label></div>
        </div>
      </div>
    </div><!---->
  </fieldset>
  <div class="form-input"><label for="email">Email address</label><span class="help-text">The email you enter will be your username.</span><input type="email" id="email" name="email" required="" email="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter a valid email address. </span><!----></div>
  </div>
  <div class="form-row">
    <div class="form-input phone-with-ext">
      <div class="phone-input"><label for="phone">Phone number</label><input type="tel" id="phone" name="phone" required="" pattern="^(\+\d{1,2}\s)?\(?\d{3}\)?[\s.-]?\d{3}[\s.-]?\d{4}$" class="ng-untouched ng-pristine ng-invalid">
        <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter a valid phone number. </span><!----></div>
      </div>
      <div class="ext-input"><label for="phone-ext">Ext. (optional)</label><input type="text" id="phone-ext" name="phone-ext" class="ng-untouched ng-pristine ng-valid"></div>
    </div>
  </div>
  <div class="form-input"><label for="license-number">License number (optional)</label><input type="text" id="license-number" name="license-number" class="ng-untouched ng-pristine ng-valid"></div>
  <div class="form-input"><label for="product-access">What products are you looking to access?</label><input type="text" id="product-access" name="product-access" required="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please the enter products are you looking to access. </span><!----></div>
  </div><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div class="form-input"><label for="wholesale-agency-name">Producer/agency name</label><input type="text" id="wholesale-agency-name" name="wholesale-agency-name" required="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter an Producer/agency name. </span><!----></div>
  </div>
  <div class="form-input"><label for="wholesale-agency-address">Agency address</label><input type="text" id="wholesale-agency-address" name="-wholesale-agency-address" required="" class="ng-untouched ng-pristine ng-invalid">
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter an Agency address. </span><!----></div>
  </div>
  <div class="form-row">
    <div class="form-input"><label for="agency-city">Agency city</label><input type="text" id="agency-city" name="agency-city" required="" class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please enter an Agency city. </span><!----></div>
    </div>
    <div class="form-input"><label for="agency-state">Agency state</label><select id="agency-state" name="agency-state" required="" class="ng-untouched ng-pristine ng-invalid">
        <option value="AL">Alabama</option>
        <option value="AK">Alaska</option>
        <option value="AZ">Arizona</option>
        <option value="AR">Arkansas</option>
        <option value="CA">California</option>
        <option value="CO">Colorado</option>
        <option value="CT">Connecticut</option>
        <option value="DE">Delaware</option>
        <option value="FL">Florida</option>
        <option value="GA">Georgia</option>
        <option value="HI">Hawaii</option>
        <option value="ID">Idaho</option>
        <option value="IL">Illinois</option>
        <option value="IN">Indiana</option>
        <option value="IA">Iowa</option>
        <option value="KS">Kansas</option>
        <option value="KY">Kentucky</option>
        <option value="LA">Louisiana</option>
        <option value="ME">Maine</option>
        <option value="MD">Maryland</option>
        <option value="MA">Massachusetts</option>
        <option value="MI">Michigan</option>
        <option value="MN">Minnesota</option>
        <option value="MS">Mississippi</option>
        <option value="MO">Missouri</option>
        <option value="MT">Montana</option>
        <option value="NE">Nebraska</option>
        <option value="NV">Nevada</option>
        <option value="NH">New Hampshire</option>
        <option value="NJ">New Jersey</option>
        <option value="NM">New Mexico</option>
        <option value="NY">New York</option>
        <option value="NC">North Carolina</option>
        <option value="ND">North Dakota</option>
        <option value="OH">Ohio</option>
        <option value="OK">Oklahoma</option>
        <option value="OR">Oregon</option>
        <option value="PA">Pennsylvania</option>
        <option value="RI">Rhode Island</option>
        <option value="SC">South Carolina</option>
        <option value="SD">South Dakota</option>
        <option value="TN">Tennessee</option>
        <option value="TX">Texas</option>
        <option value="UT">Utah</option>
        <option value="VT">Vermont</option>
        <option value="VA">Virginia</option>
        <option value="WA">Washington</option>
        <option value="DC">Washington DC</option>
        <option value="WV">West Virginia</option>
        <option value="WI">Wisconsin</option>
        <option value="WY">Wyoming</option>
      </select>
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please select an Agency state. </span><!----></div>
    </div>
  </div>
  <div class="form-row">
    <div class="form-input"><label for="policy-holder-zip">Agency zip code</label><input type="text" id="agency-zip" name="agency-zip" pattern="[\d]{5}" placeholder="Enter a five character zip code" required=""
        class="ng-untouched ng-pristine ng-invalid">
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted">Please enter a five digit zip code.</span><!----></div>
    </div>
    <div class="form-input"><label for="wholesale-agency-code">Markel agency code (optional)</label><input type="text" id="wholesale-agency-code" name="wholesale-agency-code"></div>
  </div>
  <div class="form-input"><label for="manager">Who is your manager? (Optional)</label><input type="text" id="manager" name="manager" class="ng-untouched ng-pristine ng-valid"></div>
  <div class="form-input"><label for="agency-region">Markel region</label><select id="agency-region" name="agency-region" required="" class="ng-untouched ng-pristine ng-invalid">
      <option value="midsouth">Mid South (AR, CO, LA, MS, NM, OK, TX)</option>
      <option value="midatlantic">Mid-Atlantic (DE, KY, MD, NC, PA, SC, TN, WV, VA)</option>
      <option value="midwest">Midwest (IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD, WI)</option>
      <option value="northeast">Northeast (CT, MA, ME, NH, NJ, NY, RI, VT)</option>
      <option value="southeast">Southeast (AL, FL, GA, PR)</option>
      <option value="west">West (AK, AZ, CA, HI, ID, MT, NV, OR, UT, WA, WY)</option>
    </select>
    <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error ng-star-inserted"> Please select a Markel region. </span><!----></div>
  </div>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend> Do you intend to do work on behalf of multiple agency locations? </legend>
      <div class="form-input--radio"><input type="radio" id="multiple-yes" name="multiple-offices" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label for="multiple-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="multiple-no" name="multiple-offices" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label for="multiple-no">No</label></div>
    </div><!---->
  </fieldset><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>Which lines of business do you write? (must select at least one)</legend>
      <div class="form-row"><mat-form-field appearance="fill" class="form-input"><input type="text" placeholder="Click here or begin type to filter lines of buisness." matinput="" class="mat-mdc-autocomplete-trigger ng-untouched ng-pristine ng-valid"
            autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="listbox"><!----><mat-autocomplete ngskiphydration=""
            class="mat-mdc-autocomplete ng-tns-c2908120749-2"><!----></mat-autocomplete></mat-form-field><mat-icon role="img" aria-label="close" class="mat-icon notranslate close_input hidden material-icons mat-ligature-font mat-icon-no-color"
          aria-hidden="true" data-mat-icon-type="font">close</mat-icon></div><!---->
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error"> Please select at least one option to proceed. </span></div>
    </div>
  </fieldset>
  <fieldset>
    <div class="fieldset-wrapper">
      <legend>Which of the below industry specializations are you interested in? (must select at least one)</legend>
      <div class="form-row"><mat-form-field appearance="fill" class="form-input"><input type="text" placeholder="Click here or begin type to filter industry specializations." matinput=""
            class="mat-mdc-autocomplete-trigger ng-untouched ng-pristine ng-valid" autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="listbox"><!----><mat-autocomplete ngskiphydration=""
            class="mat-mdc-autocomplete ng-tns-c2908120749-3"><!----></mat-autocomplete></mat-form-field><mat-icon role="img" aria-label="close" class="mat-icon notranslate close_input hidden material-icons mat-ligature-font mat-icon-no-color"
          aria-hidden="true" data-mat-icon-type="font">close</mat-icon></div><!---->
      <div class="form-input-error"><span class="form-input-error-icon"></span><span aria-live="polite" aria-hidden="true" class="error"> Please select at least one option to proceed. </span></div>
    </div>
  </fieldset>
  <fieldset class="ng-star-inserted">
    <div class="fieldset-wrapper">
      <legend> Do you intend to be quoting and binding business in a Markel portal? </legend>
      <div class="form-input--radio"><input type="radio" id="wholesale-quoting-binding-business-yes" name="quoting-binding-business" value="true" required="" class="ng-untouched ng-pristine ng-invalid"><label
          for="wholesale-quoting-binding-business-yes">Yes</label></div>
      <div class="form-input--radio"><input type="radio" id="wholesale-quoting-binding-business-no" name="quoting-binding-business" value="false" required="" class="ng-untouched ng-pristine ng-invalid"><label
          for="wholesale-quoting-binding-business-no">No</label></div>
    </div><!---->
  </fieldset><!----><input type="submit" value="Next"><span class="mkl-btn-arrow"></span>
</form>

Text Content

Markel Corp
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Markel.com

Access our commercial insurance portals.

Go to Sign in

Help | Privacy Policy | Terms and Conditions

DESCRIBE YOURSELF

WHICH BEST DESCRIBES YOU?

Choose the role that best describes you.
I am a Markel policyholder.
I am an appointed retail agent or an agency associate.
I am an appointed wholesale broker, MGA, or agency associate.
I am looking for an appointment for my agency or brokerage.
I’m actually not sure what to do, and I need help.
Please choose the best option.

Already have an account? Log in instead

Help | Privacy Policy | Terms and Conditions

* What are your account details?
* Tell us about yourself
* Welcome to Markel!

We were unable to uniquely identify your account. Please double check your
account or policy number and zip code and then try again. If this error
persists, please contact customer support at 888-500-3344.
Markel account number or policy number
Please enter a valid account number.

Quick tip: Your Markel account number and policy number can be found on the
invoice or payment schedule. When making a payment, please be aware each billing
account needs to be paid separately to ensure accurate posting of your payment.

If you need additional assistance, please call us at 888-500-3344. 8:00
a.m.-8:00 p.m., ET, Monday through Friday.

Mailing Zip Code
Please enter a five digit zip code.

Please wait while we gather your information

Email Address
Please enter a valid email address.

Make a one time payment

Help | Privacy Policy | Terms and Conditions

* Tell us about yourself
* Background Questions
* What about your agency?
* What is your focus?
* Welcome to Markel!

How would you like to register?
I am a licensed insurance producer, and I need an mPortal login.

Learn more

Features include:

* Ability to be selected as the licensed insurance agent on accounts submitted
under your profile.
* Once the online application is submitted, you will be appointed with Markel
Corporation affiliated insurers and authorized to write Markel Specialty
Commercial business in all states you are actively licensed.
* A social security number is not required to become appointed with Markel,
only your national producer number (NPN) is needed.
* Eligibility to enroll in the Markel Rewards program.

I am an associate of the agency, and I do not have an insurance license, and
need an mPortal login.

Learn more

If you do not have an active insurance license, or only need access to submit,
view, or service accounts, this is the option for you. Completing this simple
form grants you access to your mPortal login. This is also a great option for
agency associates needing a view of policy billing details, online commission
statements, and/or account information and history.

Please select at least one option to proceed.
Applicant individual background questions
1. Do you have delinquent unpaid debts exceeding, in total, $10,000? (Add
together consumer debt, tax liens, loans, child support payments, alimony
payments, civil judgements and other delinquent debt.)
Yes
No
2. With the exception of situations specific to continuing education, have you
ever been the subject of an administrative proceeding regarding any professional
or occupational license that resulted in disciplinary action?
Yes
No
3. Have you filed for, or been discharged from any bankruptcy (including
personal bankruptcy), insolvency or assignment for the benefit of creditors with
a filing or discharge date, whichever is later, in the last 5 years?
Yes
No
4. With the exception of situations specific to continuing education, has your
insurance license ever been suspended or revoked by any regulatory agency or
have you ever surrendered your insurance license or been fined, penalized,
sanctioned or subject to any other disciplinary action by a state or federal
regulatory agency, including any current investigations by a regulatory agency
as a result of your activities in the business of insurance?
Yes
No
5. Have you ever had an insurance agency contract or any other business
relationship with an insurance company terminated for any alleged misconduct?
Yes
No
6. Are you currently under investigation for or have ever been convicted of,
plead guilty or no contest to, any misdemeanor involving dishonesty or breach of
trust or any felony?
Yes
No
7. Are you now subject of any complaint, investigation or proceeding that could
result in a yes answer to any of the previous questions?
Yes
No

I hereby certify all of the information herein is accurate and complete and any
falsification, misrepresentation or omission of information from this form may
result in withholding or withdrawal of any state appointment by Markel Service,
Incorporated for its affiliated insurance companies. Any fines or penalties
resulting will be the responsibility of the applicant.

Terms and conditions
You consent and agree that your affirmative selection of the below button on
this electronic form constitutes your signature, acceptance and agreement as if
actually signed by you in writing.
Agency name
Please enter an Agency name.
Agency address
Please enter an Agency address.
Which lines of business do you write? (must select at least one)
close
Please select at least one option to proceed.
Which of the below industry specializations are you interested in? (must select
at least one)
close
Please select at least one option to proceed.

THANK YOU FOR REGISTERING WITH MARKEL!

You should receive a response within 24 hours.

If you have any questions or need assistance, please contact us at
agencyappointment@markel.com or 888-500-3344

Help | Privacy Policy | Terms and Conditions

* Describe yourself
* Tell us about yourself
* What about your agency?
* What is your focus?
* Welcome to Markel!

First name
Please enter a first name.
Last name
Please enter a last name.
Job title
Please enter a job title.
Job role(s)
Accounting
Assistant Broker/Underwriter
Broker/Underwriter
Branch Manager
Claims
IT
Marketing
Operations
Policy Issuance
Principal
Email addressThe email you enter will be your username.
Please enter a valid email address.
Phone number
Please enter a valid phone number.
Ext. (optional)
License number (optional)
What products are you looking to access?
Please the enter products are you looking to access.
Producer/agency name
Please enter an Producer/agency name.
Agency address
Please enter an Agency address.
Agency city
Please enter an Agency city.
Agency
stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest
VirginiaWisconsinWyoming
Please select an Agency state.
Agency zip code
Please enter a five digit zip code.
Markel agency code (optional)
Who is your manager? (Optional)
Markel regionMid South (AR, CO, LA, MS, NM, OK, TX)Mid-Atlantic (DE, KY, MD, NC,
PA, SC, TN, WV, VA)Midwest (IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD,
WI)Northeast (CT, MA, ME, NH, NJ, NY, RI, VT)Southeast (AL, FL, GA, PR)West (AK,
AZ, CA, HI, ID, MT, NV, OR, UT, WA, WY)
Please select a Markel region.
Do you intend to do work on behalf of multiple agency locations?
Yes
No
Which lines of business do you write? (must select at least one)
close
Please select at least one option to proceed.
Which of the below industry specializations are you interested in? (must select
at least one)
close
Please select at least one option to proceed.
Do you intend to be quoting and binding business in a Markel portal?
Yes
No

THANK YOU FOR REGISTERING WITH MARKEL!

You should receive a response within 24 hours

If you have any questions or need assistance, please contact us at
markelonlinesupport@markel.com or 1-855-872-9006

Help | Privacy Policy | Terms and Conditions

account-sandbox.markel.com Open in urlscan Pro 13.248.244.122 Public Scan

Form analysis 9 forms found in the DOM

Name: policy-holder-lookup-form —

Text Content

account-sandbox.markel.com Open in urlscan Pro
13.248.244.122 Public Scan

Form analysis
9 forms found in the DOM