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Assurity Accidental Death Contracting Request

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Assurity Accidental Death Contracting Request

  • (Please present options to the client before proceeding with contracting. PLEASE only proceed with contracting if your client is ready to purchase.)
  • You are unable to submit an e-application with the carrier due to client age restrictions. Therefore, we cannot complete the contracting request for this carrier.
  • In order to proceed with contracting, your client has to agree to purchase the policy. If we get you contracted with the carrier and you do not submit an application in the first 30 days, the carrier will cancel your contract and we will have to go back through contracting again later. PLEASE only proceed with contracting if your client is ready to purchase.

  • Please follow the instructions below to set up your Assurity Account and Submit your E-Application.

    Assurity Account Set Up Link

    Account Set-Up Instructions:
    • Create an Account (Make sure that the “Account Type” is marked Agent Account)
    • Agent ID: Assurity Writing Number (This will come from Assurity in an email)

    Once your Assurity account has been set up click the link below to submit the formal application for your client.

    Accidental Death E-Application Link

    *A quote will need to be re-ran in order to start the application*

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OCI

Headquartered in Elkhorn, Nebraska, OCI Insurance & Financial Services, Inc., is an insurance general agency providing support to thousands of agents nationwide in the placement of these products and services.

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