Great Lakes Mutual

Agency Request for Appointment

Not only is Great Lakes a great choice. It’s a great company.

Agents enjoy a variety of benefits when they elect to work with Great Lakes Mutual Insurance. From flexible property insurance products to profit sharing and personal customer service, each agent is a respected member of the Great Lakes Mutual family.

If your Michigan agency is looking for a complete line of property insurance products – or even a single product to complement your current offering – consider Great Lakes Mutual. It may be the partnership you‘ve been searching for.

Low Premium Requirements. Market Value Policies. Zero Credit Scoring. Sounding good?

Click here for more pieces of the property insurance puzzle with Great Lakes.

If you’re agency is ready to take the next step, please review the information below or contact us with any questions you may have.


Agency Request for Appointment

In order to license your agency and maintain State compliance, please furnish the names, addresses and Social Security numbers of agents that will be writing with Great Lakes Mutual. Also, a history of your agency is requested and the lines of business you would like to write.

All information disclosed on this web site is strictly confidential and will not be shared, sold or distributed.

For your convenience, we offer three options for submitting your agency information:

Please complete the Agency Request for Appointment form if submitting by mail or fax.

By Mail:

Great Lakes Mutual Insurance Company
Attn: Agency Review

58730 U.S. Highway 41
Calumet, MI 49913


(906) 337-1121

By Email:

Fields marked with an asterisk (*) are required.

Agency Information


System I.D.*

Agency Name*

Street Address*

Address Line 2


Zip Code*

Federal I.D. Number*

Phone Number* (required for call back)

FAX Number*

Email Address*

Agent Information


Business Address* (Street Address, City, Zip code)


System I.D.*

Agent First & Last Name

Business Address (Street Address, City, Zip code)


System I.D.

Agent First & Last Name

Business Address (Street Address, City, Zip code)


System I.D.

If more than three agents will write lines of business, please forward the requested agent information to

Property Insurance Lines

Please select the lines of business your agency is interested in writing:


Dwelling Properties


Renters Contents

All Lines

Agency History

Please provide a brief business history of your agency. Support documents and/or prepared summaries can be sent via fax or at


Verification Code

Retype Code*



Did you know?...

Great Lakes Mutual Insurance was established in 1898 – one year after William McKinley became the 25th President of the United States.

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