Apply to become a Midwest Administrative Services Dealer:

  1. Complete and Submit the Online Dealer Application.
    1. Note: "By entering your full name you are electronically signing this document stating that you have read and agree with the terms and conditions created therein."
    2. Please make sure that whomever electronically signs the Application is authorized to sign binding documents on behalf of your company.
    3. Upon Submission, you will receive on-screen confirmation of the transmission.
  2. Print a copy of the confirmation for your records.
  3. Upon Midwest Administrative Services receiving your Dealer Application, you will be contacted by a Midwest Administrative Services Representative who will continue the application process.
  4. If you meet the criteria to become a Midwest Administrative Services Dealer, you will be invoiced a $150.00 Dealer Setup Fee.
    1. This one-time fee is to cover the costs of your initial supply of forms, point-of-sale materials and the Representative's time to install the program and train your staff.
    2. Prepare a company check (no personal checks please) payable to "Midwest Administrative Services" and mail to:
      Midwest Administrative Services
      P.O. Box 19326
      Lenexa, KS 66285
  5. Upon processing your Dealer Setup Fee, Midwest Administrative Services will ship out your Dealer Setup Kit which contains;
    • Point-of-Sale Materials
    • Dealer Procedure Manual
    • Program Booklets
    • and everything else needed to begin offering the program to your customers.

If you have any questions, please call Midwest Administrative Services Dealer Support toll-free at (866) 925-9700.