Common Contracts

Mutual of Omaha

General Agent Agreement • March 17th, 2014 • Nebraska

• Contract Type
  General Agent Agreement
• Filed
  March 17th, 2014
• Jurisdiction
  Nebraska

□ Special Agent Agreement – Required for all License Only Agent or Signer Principal Officer of a corporation. Agreement does not need to be returned

To expedite the contracting process, please follow the steps below:

General Agent Agreement • August 25th, 2009 • Nebraska

• Contract Type
  General Agent Agreement
• Filed
  August 25th, 2009
• Jurisdiction
  Nebraska

Step 1: Complete and Sign the Following Items  Contract Information and Signature Form- Complete as directed  E&O Coverage – Required for all products except Medicare Supplement, Final Expense, Term Life Express  Direct Deposit Information (optional)  Individual Fair Credit Reporting Act Authorization  General Agent Agreement- Agreement does not need to be returned  Special Agent Agreement – Required for a License Only Agent or Signer/Principal Officer of a corporation. Agreement does not need to be returned.  Commission Advance (optional)  Debt Verification Authorization Form (required if requesting commission advance for Life products) Step 2: Submit Copies of Applicable State Licenses Step 3: Please Include State Requirements as Noted Below California - LTC Continuing Education Colorado - LTC Continuing. Education Connecticut - Partnership Certificate Hawaii - 2 Original State Forms Illinois - LTC Continuing Education Indiana - LTC Con