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Enter your profile just one time and have our new system fill out multiple carrier contracting forms for you. Just one way IPG Central is making contracting faster and more accurate for you.


Or you can still download Contracting Forms one at a time just like you always did...you decide.
  • The following list of forms are in Adobe Acrobat format. If your computer is not equiped with a viewer for this format click here for a free download and installation instructions.

  • NOTE: Some companies represented by IPG do not provide forms in a format that can be placed on our website. If you don't see a form that you need please contact us at 1-800-352-3358 and we'll be happy to fax or mail the form(s) to you.

Select the form you need by clicking on the title.
AIG Life Insurance Company   (Back to Top)
AIG Life Agent Contracting
Description: Description: For use with agents contracting in the IPG Central Region - Mike Kelley
American National   (Back to Top)
American National Commission Schedule
Description: Commission Schedule for use with all American National appointed agents.
American National Contracting
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Ameritas Variable Life   (Back to Top)
Ameritas Variable Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
AVIVA (formerly Indy Life)   (Back to Top)
AVIVA Life Agent Contracting
Description: Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Indianapolis Life Commission Schedule
Description: Commission Schedule for use with all Indianapolis Life appointed agents
Columbus Life Insurance Company   (Back to Top)
Columbus Life Contracting
Description: For Use with Agents In the IPG Central & West Regions. Mike Kelley or Mike Ferguson
Columbus Life E&O Application
Description: For use with Agents who do not already have E&O and would like to buy it through Columbus Life
EquiTrust Life Insurance Comapny   (Back to Top)
EquiTrust Contract
Description: Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Genworth Financial   (Back to Top)
Assignment Of Compensation
Description: If commissions are being paid to someone other than the agent.
ING USA Annuity & Life Company   (Back to Top)
ING USA Contracting- IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
ING-USA Annuity Commission Schedule
Description: For use with all appointed ING Agents.
ING-USA Fixed and Index Commission Schedule
Description: Commission schedule for ING-USA fixed and index annuities.
ING-USA Fixed and Index Commission Schedule
Description: Commission schedule for ING-USA fixed and index annuities.
IPG West ING USA Contracting
Description: ING USA Contracting paperwork for IPG West Agents
Integrity Life Insurance Company   (Back to Top)
Integrity Life Agent Contracting
Description: Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Jefferson-Pilot Life Insurance Company   (Back to Top)
Lincoln Financial (Jefferson Pilot) Contracting - IPG Central & West Region
Description: For use with Agents In the IPG Central & West Regions. Mike Kelley or Mike Ferguson
Liberty Life of Boston   (Back to Top)
Liberty Life Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Life Investors   (Back to Top)
Life Investors Contractng - IPG Central & West Regions
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson
Lincoln Benefit Life Company   (Back to Top)
Lincoln Benefit Life Commission Schedule
Description: Commission Schedule for use with all Lincoln Benefit Life appointed agents
Lincoln Benefit Life Contracting for the Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Lincoln Benefit Life Special Agent contracting for IPG Central Region
Description: If Commissions are being paid to someone other than the individual agent —Please complete the Special Agent Contract. For use with agents contracting in the IPG Central Region - Mike Kelley
Lincoln Benefit Life Variable Commission Schedule
Description: Variable Commission Schedule for use with all Lincoln Benefit Life appointed agents
Lincoln Benefit Life Variable Contracting - IPG Central Region
Description: For use with agents that wish to be contracted to sell LBL Variable Annuity and Life Products in the IPG Central region. Mike Kelley
Lincoln National Life Insurance Company   (Back to Top)
Lincoln Financial Contracting - IPG Central Region
Description: MoneyGuard and Term contracting in the IPG Central Region - Mike Kelley
Lincoln Financial MoneyGuard Commission Schedule
Description: MoneyGuard Commission Schedule
Metropolitan Life Insurance Company   (Back to Top)
MetLife Long-Term Care Contracting - IPG Central & West Regions
Description: For use with agents contracting in the IPG Central & West regions. Mike Kelley or Mike Ferguson
North American Company for Life & Health   (Back to Top)
North American Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
North American License Only Contracting - IPG Central Region
Description: If Commissions are being paid to someone other than the individual agent —Please complete the License Only Contract. For use with agents contracting in the IPG Central Region - Mike Kelley
Reliastar (Annuities)   (Back to Top)
ReliaStar-Annuity Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
ReliaStar (Life)   (Back to Top)
ReliaStar Life Contracting
Description: For use with Agents contracting for ReliaStar LIFE products In the IPG Central & Western Regions. Mike Kelley or Mike Ferguson
Royal Neighbors of America   (Back to Top)
Royal Neighbors Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Standard Insurance Company   (Back to Top)
The Standard - License Only [Affiliated] Contracting - IPG Central Region
Description: If Commissions are being paid to someone other than the individual agent —Please complete this Affiliated Annuity Contract. For use with agents contracting in the IPG Central Region - Mike Kelley
The Standard Annuity Contracting
Description: Description: For use with Independent Agents contracting in the IPG Central Region- Mike Kelley
Standard Insurance Company (DI Only)   (Back to Top)
Instructions for Standard DI Contracting
Description: Agent contracting Instructions for all regions. Please fax completed paperwork to 877-488-3361.
Standard DI Contracting - Direct-Pay Producers - All Regions
Description: For use with Independent Agents contracting in all regions.
Standard DI License only contracting - All Regions
Description: If Commissions are being paid to someone other than the individual agent —Please complete the Affiliated DI Contract. For use with agents contracting in Regions.
SunLife Financial   (Back to Top)
Sun Life Annuities (Keyport) - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Sun Life Contract for Central and West
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson
Sun Life Contract for Central and West
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson
United Of Omaha Life Insurance   (Back to Top)
United/Mutual of Omaha Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
West Coast Life Insurance Company   (Back to Top)
West Coast Life Commission Schedule
Description: Commission Schedule for use with all West Coast Life appointed agents
West Coast Life Contracting - IPG Central & IPG West Regions
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson
Western Reserve Life   (Back to Top)
Western Reserve Life Contracting-IPG Centrl & IPG West Regions
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson

 

 

 


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Mike Kelley - Managing Partner IPG Central
Mike Kelley
Managing Partner

Mike entered the wholesale insurance brokerage business in 1991. Since then Mike has worked to build Kelley Financial Services, now Independent Planners Group, to be a "value added" agency offering top service to the best agents in the industry.

 

For Agent or Broker/Dealer Use Only.
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Please call IPG for current availability.
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 Photographs by Peter Haigh