Apply to Join SureSave

It's great to have you on-board. Before we can get started we require some information about your company and your acceptance of our terms via the below agreement.

* Please DO NOT use CAPS LOCK to fill out this form

Enter Agency details

We require a copy of your Professional Indemnity Certificate of Currency please email it to [email protected] with your company name in the subject.

Agency Address

To set up Direct Debit Payments, download the form and submit to [email protected] for processing.

Add Multiple Consultant Details

Register your consultants so they can access our products, training and agency portal. NB: For each consultant please provide their name and individual email address.
No users have been added, please use the buttons below to add more.

Bank Details

Agreement to Distribute and Terms

The agreement is between , ABN referred to as the "Distributor" and nib Travel Services (Australia) Pty Ltd (ABN 81 115 932 173), hereinafter referred to as "The Managing Agent". The Legal Entity trading as the Distributor is authorised and required to:

  1. Issue the travel insurance Policy known as SureSave travel insurance without modifications or alterations to the terms, conditions, certificates and documents of such policies as set down in the Managing Agent''s policy documents.
  2. Collect and remit to the Managing Agent premiums in accordance with the Terms and Conditions of your appointment as a distributor for nib Travel Services (Australia) Pty Ltd ("Terms and Conditions").
  3. Comply with the General Insurance Code of Practice and the Terms and Conditions.

Either party may terminate the Agreement by giving 7 days'' notice in writing and all outstanding policy certificates and premiums will be immediately payable and returned to our office.

The distributor shall be entitled to commission at the rate of 48% of gross premium written and may deduct commission from premiums collected.

By clicking "Accept Terms" I acknowledge that I have read the Terms & Conditions and wish to apply to offer and sell SureSave Travel Insurance and act as a Distributor.