ATTENTION LIFE PRODUCER: New Business Application Requirement. Read Now – Due to HIPPA compliant laws, client applications must be submitted through fax. Carriers will NOT accept new business applications through email. Applications submitted through a carrier’s e-App process will comply with all HIPPA laws. Please read the following instructions to get started.
If you are submitting business to one of the carriers below, please print out the transmittal cover sheet first, then LOG-IN to access these sheets:
If you are applying to multiple carriers, please download and fill out this form. (Must be logged-in to download.)
Fax your applications to
If you are experiencing any errors, please fax (916) 939-7764 or call (866) 202-7712.