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Revised Agent Appointment Application Required July 1, 2021

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Revised Agent Appointment Application

Required July 1, 2021

 

 

The Agent Appointment Application has been revised. The new version ET-3200(05-21) is available now on the Agent Gateway Website and may be used immediately. It will be required for agent contracting paperwork received on or after July 1, 2021. 

 

Agents writing business for the first time in over 24 months need to submit the 5-21 application and the Vector Debit Balance Authorization.

 

To view and print the most current contracting and hierarchy change forms, click here. Or, on the website’s upper navigation bar, select Forms & Supplies > Forms > Search by Form Category: Licensing & Contracting.

 

Helpful Contracting Resources

Contracting Checklist – ET-3202 (11-20)

NAIC Producer Licensing Model Act; Override Commissions – ET-3400 (10-20) 

Business Solicitation Requirements – ET-3104 (02-20)

Just-In-Time Agent Contracting FAQ – ET-JITFAQ

 

Questions? Call Sales Support
at 866-598-3694 or email [email protected]

 
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Products underwritten and issued by EquiTrust Life Insurance Company, West Des Moines, Iowa. Products distributed by EquiTrust Insurance Marketing Services; in California doing business as EQT Insurance Marketing Services.

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IC21-ECN-1064

FOR PRODUCER USE ONLY

EquiTrust

7100 Westown Pkwy Suite 200
West Des Moines, IA 50266

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