Major Medical

Important Information

Please fax completed agent appointment paperwork to 800.539.1021

Please include the following:

* Voided check

* State license for each state in which you wish to be appointed

* Current Errors & Ommission Certification.

Standard Security

Peek Performance Training Video
Verification Call - for electronic apps only 1-866-543-4471

Underwriting - please check the Underwriting Guide posted on page 2.

Website: www.iacusa.com

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File

Date

Size

' Contract

02/17/2011 03:19

633 K

(SC) Generic Application

05/10/2010 04:06

230 K

Brochure

05/13/2010 11:00

720 K

Daily Plan Overview

05/04/2010 02:24

151 K

Daily Plan Sample Policy

05/13/2010 01:54

49 K

GA Application

05/03/2010 11:46

198 K

HDHP Sample Policy

05/13/2010 01:55

51 K

High Deductable Health Plan Overview

05/04/2010 02:09

145 K

HSA Attestation Form

05/27/2010 11:31

38 K

Merit Plan Overview

05/03/2010 11:45

155 K

Merit Plan Sample Policy

05/13/2010 01:48

54 K

NC Application

05/03/2010 11:47

228 K

Preferred Underwriting App Form

05/03/2010 11:50

43 K

Standard Security Contact Numbers

05/13/2010 01:57

42 K

State Appointment Fees

05/10/2010 04:40

26 K

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