Licensing Forms

 

IMPORTANT NOTICE

You must be appointed and licensed with the Carrier 
BEFORE you may solicit business for that carrier.


Please download the forms for any carrier you wish to represent.

Please complete and sign the required forms wherever indicated.

Please FAX the completed, signed forms back to us as soon as possible together with a copy of your License.

Where E and O Insurance is required please be sure to FAX evidence of your E & O coverage to us to us as well.
 

Allianz     MedAmerica               (LTC)   
Allianz of NY   MetLife  Life Insurance         (E&O)
American Equity Investment Life (E&O) MetLife   DI                               (E&O)
American General  Non-NY    (E&O) MetLife            (LTC)             (E&O)
American Memorial   Minnesota Life  
American National (E&O) Mutual of Omaha (E&O)
American National of NY (E&O) National Integrity Life  
American Progressive   National Life of Vermont ( (E&O)
Assurity Life Ins. Co.   North American Company  (E&O)
Atlantis Health   OM Financial Life of NY       (E&O)
Aviva  (Bankers Life & Indy)  (E&O) Oxford - United Healthcare  
AXA - Equitable (E&O) Presidential Life  
Banner Life   Presidential - DI  
Columbian Mutual   Principal - Disability Income (E&O)
Companion Life of NY             (E&E) Principal - Life  
Fidelity Life Associates   Protective Life & Annuity (E&O)
Fidelity Security (non NY)   Prudential    Individual       (E&O)
First Relaince Standard   Prudential    Corp.                (E&O)
First United American   Prudential - LTC  
Foresters (E&O) RBC                                           (E&O)
Guardian Life                       (E&O)  Reliance Standard - Annuity (E&O)
Genworth Financial      
Guarantee Trust Life   Securian Dental  
Hartford Annuities   Security Mutual                      (E&O)
John Hancock        (Life)        (E&O) Sun Life                                    (E&O)
John Hancock        (LTC)   Transamerica Non-NY (E&O)
Integrity Life     Non-NY   Transamerica  New York (E&O)
ING -Reliastar (E&O) US Life       NY   (E&O)

ING Reliastar - Annuities      

(E&O) Unify Companies   Indiv (E&O)

Liberty Life of Boston           

(E&O) Unify Companies  Corp (E&O)
Life Investors Ins. Co.            (E&O) United American  
Lincoln Financial Group  (E&O) United Healthcare - Oxford  
Madison Dental-Grouplink   United of Omaha                   (E&O)
Madison Dental   West Coast Life                    (E&O)
Manhattan Life   William Penn  

(E&O)    These carriers require you to have at least $1,000,000 of Errors and Omissions insurance, otherwise they will not appoint you

Do you need E & O Insurance?       
       We can help! 

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