QBE Connection Request Fill in the information below to request a connection to a QBE product on Sunrise Exchange® QBE Connection Request What is your Sunrise ID? (Please contact support@ebix.com.au if confirmation is required) * Business/Company name? * What is your company address? * What is your company ABN? * Are you an AR of another company? If so, what is the main company name? Primary contact? * Primary contact email address? * What Broking System do you use? * Please SelectCBSeGlobalEvolutionibaisInsightWinBEATWinBEAT NEXTeBusiness PortalMarketplace Please indicate which product from QBE you wish to transact business with on Sunrise Exchange® * Business Pack (MMBP) Commercial Motor Insurance (MVA) Farm Pack (FAR) Home Pack (MMHP) Information and Communication Insurance (ICT) Management Liability (MNL) Marine Pleasure Craft Insurance (PCR) Medical Malpractice Insurance (MDI) Motor Pack (MMMP) Personal Accident (PAN) Professional Indemnity Insurance (PID) Workers Compensation (AOP) Have you discussed this connection request with the Insurer? * If yes, who did you speak to? Any other information Ebix should know? Submit
