Forms
Print the LifeBrokers™ Privacy Statement and LifeBrokers™ Authorization forms when printing an application.
Applications and Related Forms
- Life Applications / HIV / Replacement / Riders

- Authorization Form and Privacy
Statement

- Contracting/Licensing/E&O

- Quick Quote Forms

- Questionnaires

Illustration Request Forms
- Life Insurance Request Form

- Disability Request Form

- Long Term Care Request Form

- Annuity Request Form

- Foreign National, Etc.

LifeBrokers™ Express Program
Fast-Track Underwriting! With the LifeBrokers™ Express Program, you'll get a rush every time. Quick turnaround and smooth handling of standard, and preferred term and universal life cases create winning results for you and your clients. For your clients through age 65, policies at amounts up to $500,000 can be issued in just 10 days. LifeBrokers™ Express Underwriting – we can help you make fast, easy money on tough clean, smaller cases. Click here for a one minute long audio/visual marketing presentation of the LifeBrokers™ Express Program. Click here for a three minute long audio/visual process and procedural presentation of the LifeBrokers™ Express Program.
Express Underwriting Guidelines
- Underwriting Guidelines

Express Contracting
- Contracting

Applications
- Click Here

Product Spreadsheets
- Extended Maturity Option for Guaranteed Premium UL Plans, Including Survivorship Plans

Underwriting Guides
- Preferred Underwriting

- Tobacco Usage Underwriting

- Pilot Underwriting

- Scuba Underwriting

Term Quoting
For first time users please contact our office at (602) 494-9500 or (800) 516-0283 for a password to gain access to all of your term quoting needs.
- Vital Term & Vital Signs Spreadsheets
