CORE BENEFITS GROUP HIERARCHY ASSIGNMENT

CORE HIERARCHY ASSIGNMENT
The purpose of this document is to assign/change the hierarchy assignment of the below agent. It is your responsibility to submit this Hierarchy Assignment form for any new agent in your hierarchy as well as any tier changes to any of your current agents. To complete this transaction click on the submit hierarchy form below and we will process the change within 7 business days.
Agent Name:*

Agent's First NameAgent's Last Name
Core Agent #:
Core Agent #
Agent Tier Levels*

Tier 5000 = 50% of Core's OverwriteTier2500 = 25% of Core's OverwriteTier 50 =50%Tier 60 =52%Tier 70 =54%Tier 80 =56%Tier 100 =58%Tier 200 =60%Tier 300 =62.50%Tier 400 =65%Tier 500 =67.50%Tier 600 =70%Tier 700 =72.50%Tier 800 =75.00%
Reporting to:

Your First NameYour Last Name
Core Agent #:
Core Agent #
Override Tier Levels

Tier 5000 = 50% of Core's OverwriteTier 2500 = 25% of Core's OverwriteTier 4000 =13.50%Tier 4100 =9.00%Tier 4150 =8.00%Tier 4200 =7.00%Tier 4250 =6.00%Tier 4300 =5.00%Tier 4350 =4.50%Tier 4360 =4.00%Tier 4370 =3.00%Tier 4400 =2.00%Tier 4450 =1.00%
Reporting to:

Your First NameYour Last Name
Core Agent #:
Core Agent #
Override Tier Levels

Tier 4000 =13.50%Tier 4100 =9.00%Tier 4150 =8.00%Tier 4200 =7.00%Tier 4250 =6.00%Tier 4300 =5.00%Tier 4350 =4.50%Tier 4360 =4.00%Tier 4370 =3.00%Tier 4400 =2.00%Tier 4450 =1.00%
Reporting to:

Your First NameYour Last Name
Core Agent #:
Core Agent #
Override Tier Levels

Tier 4000 =13.50%Tier 4100 =9.00%Tier 4150 =8.00%Tier 4200 =7.00%Tier 4250 =6.00%Tier 4300 =5.00%Tier 4350 =4.50%Tier 4360 =4.00%Tier 4370 =3.00%Tier 4400 =2.00%Tier 4450 =1.00%
Special Instructions
Date*

MonthDayYear
Submitted by:*

First Name Last Name
Signature:*

Clear
Should be Empty:

CORE HIERARCHY ASSIGNMENT