Request FlexMark Select Contracting

To request access to the exclusive Legacy/Ameritas FlexMark Select product, please complete the form below to access Gen3’s Producer Portal. If you’re already registered and active with Gen3, please email

IMPORTANT: Your First and Last name must be entered exactly as it appears on your insurance license/NIPR profile. If registering as an agency, please use information of agency principal.

New User Registration
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