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Contracting Forms > IPG Central

  • 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.
American National   (Back to Top)
American National Contracting
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
AVIVA Life Insurance Company   (Back to Top)
AVIVA Life Agent Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Banner Life Insurance Company   (Back to Top)
Banner Life Insurance Contracting - IPG Central & IPG West Regions
Description: For use with agents contracting in the IPG Central and West Regions - Mike Kelley or Mike Ferguson
Signature Authorization Addendum
Description: Required for use of AppAssist electronic term life application process.
Genworth Financial   (Back to Top)
Genworth Annuity Contracting
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
ING Reliastar   (Back to Top)
Reliastar Commission Schedule
Description: For Annuities written with ING Reliastar (Northern Life of Iowa)
ReliaStar-Annuity Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
ING USA Annuity & Life Company   (Back to Top)
ING USA Annuity Contracting- IPG Central Region
Description: For use with agents contracting to write ING FIXED ANNUITIES ONLY in the IPG Central Region - Mike Kelley
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
Liberty Life of Boston   (Back to Top)
Contractinf for Liberty Life
Description: Appointment and contracting paperwork for IPG West, Mike Ferguson
Liberty Life Contracting - IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
Lincoln Benefit Life Company   (Back to Top)
Lincoln Benefit Life Contracting - IPG Central Region
Description: For use with agents contracting to write LBL Annuities or Life Insurance 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 National Life Insurance Company   (Back to Top)
Lincoln National - Annuity Contracting - IPG Central Region
Description: Contracting and licensing with Lincoln National ANNUITY Products
Metropolitan Life Insurance Company   (Back to Top)
MetLife - Life Insurance - Contracting IPG Central Region
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
ReliaStar (Life)   (Back to Top)
ING ReliaStar Life Insurance Contracting
Description: For use with Agents contracting for ING 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)
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)
SunLife Contracting - IPG Central & West Regions
Description: For use with agents contracting with SunLife for Life Insurance in the IPG Central or West Regions - Mike Kelley & Mike Ferguson
Variable Annuity Life Insurance Company   (Back to Top)
VALIC Annuity Contracting - Mike Kelley
Description: For use with agents contracting in the IPG Central Region - Mike Kelley
West Coast Life Insurance Company   (Back to Top)
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)
Entity Certification of Authority
Description:
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

 
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.





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