Cohen Agency Home

This is a non-public website, and therefore you must register with us in order to have access to the resources on this website, and receive real-time status. An email will be sent to the email address below confirming your registration. Upon confirming, you will receive an approval email within 2 business days.

The following information is required so your name and cases are matched up appropriately. Fields denoted with an astrisk (*) are required.

Note - If you are using Internet Explorer 11 (IE11) as your browser, you will need to take the following steps to make it compatible with our website:

1. Click on the "Tools" link on menu bar on top of brower

2. Click on "Compatibility View" on the drop down menu

3. Press "yes" to accept as an allowable website

* First Name:
  Middle Initial:
* Last Name:
  Social Security #:
(Last four digits only)
*** - ** -
* Street Address:
  Apt/Suite #:
* City:
* State:
* Zip:
  Home Phone:
 (   )   -   Ext 
* Business Phone:
 (   )   -   Ext 
 (   )   -
* Email:
(This will be your user id)
  Resident State:
  Primary Line(s) of Business: Annuities
* Password:
* Confirm Password:

*****  Upon registering, you will automatically receive periodic updates and notices in relation to the insurance services in this site.  *****