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Contracting Forms > IPG West

  • 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 Contractng
Description: Contracting for American National with IPG West, Mike Ferguson
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.
Beneficial Financial Life   (Back to Top)
Beneficial Agent Contracting
Description: Agent appointment forms for Beneficial Life - IPG West
Genworth Financial   (Back to Top)
Genworth Agent Annuity Contracting
Description: Appointment and contracting for Genworth and IPG West
ING Reliastar   (Back to Top)
Reliastar Commission Schedule
Description: For Annuities written with ING Reliastar (Northern Life of Iowa)
ReliaStar ING Contracting IPG West
Description: Contracting paperwork for ING ReliaStar Annuities and TSA contracts.
ING USA Annuity & Life Company   (Back to Top)
IPG West ING USA Contracting
Description: ING USA Contracting paperwork for IPG West Agents
Integrity Life Insurance Company   (Back to Top)
Integrity Agent Contracting
Description: Agent appointment and contracting for IPG West
Liberty Life of Boston   (Back to Top)
Contractinf for Liberty Life
Description: Appointment and contracting paperwork for IPG West, Mike Ferguson
Lincoln Benefit Life Company   (Back to Top)
Agent Contracting
Description: Appointment paperwork for agents contractng with Lincoln Benefit Life and the IPG West Region, Mike Ferguson
Lincoln Benefit Life Special Agent Contracting - IPG West 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 West Region - Mike Ferguson
Lincoln National Life Insurance Company   (Back to Top)
Lincoln National - ANNUITY Contracting
Description: Appointment and Contracting Kit for IPG-West, Mike Ferguson.
North American Company for Life & Health   (Back to Top)
North American Contracting - IPG West Region
Description: For use with agents contracting in the IPG West Region - Mike Ferguson
North American License Only Contracting - IPG West 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 West Region - Mike Ferguson
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
Standard Insurance Company   (Back to Top)
The Standard Annuity Contracting - IPG West
Description: For independent agents contracting with Standard through IPG West
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)
Sun Life Contracting
Description: Appointment and Contracting Kit for IPG-West, Mike Ferguson.
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 Contracting - IPG West
Description: Agent Contracting for IPG West - Mike Ferguson
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 Ferguson - Managing Partner IPG West
Mike Ferguson Managing Partner

Mike has been providing sales, service and technical support to the financial planning community since 1988, for 13 years marketing, servicing and providing technical and product support for Delta Life and Annuity.





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