Licensing and Commissions

Licensing Forms


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   Manhattan Life
Allianz of NY MedAmerica               (LTC) 
American Equity Investment Life (E&O) MetLife  Life Insurance         (E&O)
American General  Non-NY    (E&O) MetLife   DI                               (E&O)
American Memorial             
American National (E&O) Minnesota Life
American National of NY (E&O) Mutual of Omaha (E&O)
American Progressive National Integrity Life
Ameritas Life    (E&O) National Life of Vermont ( (E&O)
North American Company  (E&O)
Assurity Life Ins. Co. Oxford – United Healthcare
Athene Life & Annuity of NY (E&O) Peterson International
Aviva  (E&O)
AXA – Equitable (E&O)
Banner Life Principal – Disability Income (E&O)
Columbian Mutual    Principal – Life (E&O)
Principal – Life Corporate (E&O)
Companion Life of NY (E&O) Protective Life & Annuity (E&O)
Emblem Health
Fidelity & Guarantee Prudential    Individual (E&O)
Prudential    Corp.                (E&O)
Fidelity Security (non NY) Prudential – LTC
First Relaince Standard
First United American  Reliance Standard – Annuity (E&O)
Foresters (E&O) Securian Dental
Gerber Life (E&O)
Guardian Life                       (E&O) Security Mutual                      (E&O)
Genworth Financial                                 
Symetra – Individual
Symetra – Corporate
Transamerica Non-NY (E&O)
Hartford Annuities Transamerica  New York (E&O)
John Hancock        (Life)        (E&O) US Life       NY   (E&O)
John Hancock NY (Life) (E&O) Unify Companies (E&O)
John Hancock        (LTC)
Integrity Life     Non-NY United American
ING -Reliastar (E&O) United Healthcare – Oxford

ING Reliastar – Annuities      

(E&O) United of Omaha                   (E&O)

Liberty Life of Boston           

Life Investors Ins. Co.            (E&O) William Penn
Lincoln Financial Group  (E&O)
Madison Dental-Grouplink
Madison Dental