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EasyIssue
               3 - 12 Minutes per Client

Term / Impaired Risk / Guaranteed Issue

One Source Portal

Electronic Submissions

Minimal Paperwork

On-line Access

Its Never Been Easier

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Agent Name: 
Phone: 
Res State: 
License # 

 

The Questions Below are Specific to Fidelity

Please answer each questions and then click the 'Submit' button. Your answers will be electronically forwarded to a contracting team member, who will fill in your contracts for you and fax you any necessary signature pages It's that easy!

   
Yes
No
 
 
 Has any insurance license ever held by you been refused, suspended, revoked or been the subject of any administrative action by any state?
 
 
 Have you ever filed for bankruptcy, pled guilty or nolo contendere to, or been found guilty of felony or misdemeanor charges including motor vehicle infractions at any times?
 
 
 Are you now the subject of any complaint, investigation or proceeding which could result in a 'yes' answer to any of the above questions?
 
 
 Are any judgements or suits pending against you or your firm?
 
 
Are you, or is your firm, currently indebt to any life insurance company?
 
 
May we contact your present carriers?
   

        
     


Contracting Questions - Call

   

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