Evolutionary Agency Concepts
CONTRACTING FORM
Name
Phone Number
Email
example@example.com
Commission Advance
Yes
No
State of Appointment:
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Please check the carriers you wish to be contracted with:
Medicare Advantage and Prescription Drug Plans Carriers:
Aetna
Allwell
Anthem
Anthem BCBS - KC
Bright health
Coventry
Envision
Essence
Cigna
Humana
Lasso
Mutual of Omaha
Silverscript
United Healthcare - AARP
Wellcare
Medicare Supplement Carriers:
AARP
Accendo
American Continental
American Retirement Life
Americ
Assured
Bankers Fidelity
Cigna
Combined
Continental
CSI Life
GPM Health and Life
Heartland National
IAC
Loyal American
Lumico
Manhattan Life
Medico
Mutual of Omaha
National General
New Era
Old Surety
Oxford
Pan American
Pekin
Prosperity
Renaissance
Sentinel Security
Standard L&A
Thrivent
The Garden State
TransAmerica
Union Security
United of Omaha
Annuities:
Allianz
American Equity
American General
American National
Athene
Atlantic Coast
Brighthouse
Equitable
Fidelity & Guaranty
Great American
Global Atlantic
Guggenheim
Lincoln
Nassau Re
National Western
Oxford
Sentinel
The Capital Life
Life (Term, Whole Life, Indexed, Final Expense, Etc.) Carriers:
Allianz Life
American Continental
American General Life
American Home Life
American National
American Retirement Life
Americo
Ameritas
Assurity Life
Assurant
Baltimore Life
Banner Life
Christian Fidelity
Fidelity Life
Foresters
Genworth
Gerber Life
Great Western
Guarantee Trust Life
Jackson National
John Hancock Life Ins Co
Liberty Bankers Life
Lincoln Financial Group
Lincoln Life
Loyal American
Mass Mutual
Midland National
Mutual Life
Mutual of Omaha
National Guardian Life
Nationwide
New Era - Philadelphia
North American
One American
Ohio National
Oxford Life
Pacific Life
Penn Mutual
Phoenix Life
Principal Life Insurance
Protective Life
Prudential
Reliastar
Royal Neighbors of America
Sagicor
Senior Life
Sentinel Life
Settlers Life
Standard Life
Symetra Life
TransAmerica
United Home Life
United of Omaha
Health Insurance:
Ambetter
Anthem
Cigna
Coventry
Cox Health
National General
Medishare
Oneshare
Dental Carriers:
Central
Cigna
GPM
Medico
National Care
Spirit Dental
Surebridge
United Home Life
Disability:
Ameritas Life
Assurity
Principal Life
Standard Life
Brighthouse
Payroll Deduction:
Aflac
Allstate
Long Term Care:
American General
Genworth Financial
John Hancock
Lincoln Financial
Pacific Life
Hospital Indemnity:
ARLIC
Continental Life Insurance of Brentwood TN
Guarantee Trust Life
Heartland National
Medico
Sentinel Security
Standard Life
Critical Illness:
Continental Life Insurance of Brentwood TN
Guarantee Trust Life
Loyal American Life
Medico
Philadelphia American
Standard Life and Accident
Submit
Should be Empty: