Insurance Brokerage From Top Rate Companies

Insurance Brokerage America offers spreadsheet quotes from most of the top rated life insurance brokerage companies and pays general agent commissions! Are you a licensed agent wanting to earn general agent brokerage commissions from most of the top rated brokerage companies?  Learn More About This Brokerage Opportunity >>


Disability quotes and proposals usually take 5 to 7 working days shopping time

Please Supply Us With Your Clients Disability Quoting Information

Details regarding medical conditions and occupation are vital in providing you with an accurate quote at the lowest possible premium rate.  This is especially important for physicians and attorneys.

We have found that this is the most expedient way to give you an accurate quote as we offer many companies and are committed to finding you the best possible price. 


Clients First Name  
Clients Last Name
Clients Street Add.
Zip Code

Agent Information

Agents Name  

Agents Day Phone   ext
Agents Eve. Phone   ext
Best time to call
Agents E-mail

Personal Information

  Date of Birth    Year -ex. 1961-   
  Has your used nicotine products or nicotine substitutes at any time
in the last 12 months? 

  Does your client take any medications of any kind?   
If "YES", furnish "complete details" to include ,
names of medication/medications, related condition/conditions, dates of occurrence, and outcome of prognosis.

  Other than what was referred to above, are there any other medical condition, past or present? Include physician visits, date and reason.

If "YES",  furnish "complete details" to include , condition/conditions, dates of
occurrence, and outcome of prognosis.

   Employment Information
    Is your client self employed? 

      If "YES",
are they a ? 

    Annual income from salaries -W2 or 1099-, -ex. 5000-  $
    Is your client a City, State or Federal employee?           

       If "YES", how many years?  

  Physicians, provide your specialty 

    Describe your clients duties at work



% of Time




    Office location ?
    If applicable, what percentage of time does your client  work at home? 

Disability Coverage Details
  Does your client currently have any existing disability income coverage?

If "YES",

  Type of coverage


  Benefit amount per month?  -ex. 4000)-   $


  Benefit Period    -ex.18 months-                 

  Is your client replacing or adding  to your existing coverage?


  Desired amount of coverage  -ex. 4000-   $ per month

important note: "industry wide standard" the maximum amount of benefit available is approximately 67%,

benefits are generally not taxable - because premiums are commonly paid with after taxed dollars.
  Benefits to begin  after disability
  Benefits payment period 



Start Here!!

Get The Best Term Life Quote
For Your Client

Insurance Brokerage provides you with the latest technology to search for the best term life insurance quote for your client-

Our brokerage spreadsheet quoting system allows you to examine "by underwriting class" all of our top companies as they apply to your specific client needs.

Download top company life insurance quotes -

Get appointed with the company that best suits your clients needs-

Download top brokerage appointment forms-

Get a state specific term
life insurance application-

Insurance brokerage affords the agent an easy way to access all of the forms for all of our companies.

Request state specific brokerage life application forms-

Mail completed forms to -

  Insurance Brokerage America

  National Marketing
  P.O. Box 30248
  Charleston, SC 29417
  800-406-6303     843-769-9804 fax

Product Information Tools

Carrier Profiles And Links
  Products Information
  Permanent Products Information
  Underwriting Requirements
  Capital Needs Analysis Calculator

A Tale Of Two Agents

Captive Agent

An agent working exclusively for a single firm. He or she is obliged to submit business only to that firm, or at least give that firm first rights of refusal on the case.

Captive agents that are non-established are usually paid on a combination of salary and commissions earned from selling the policy contract. Also, the firm usually provides its captive agents with an allowance for office expenses as well as employee benefits such as pensions, life insurance, and health insurance. 

The established captive agent is usually paid exclusively on a commission basis.  This type of agent will tend to have more in-depth knowledge of that firm's policies, however, he or she will hardly ever be equipped to offer the industries' best price on any particular product offering.

Independent Agent Broker

Simply said, independent agents are appointed to sell policies from many insurers. The agent is independent from all the companies thus, the independent agent's responsibility is solely focused on evaluating the client's needs and the pricing of the product chosen.

While searching for the brokerage market's best place for a client's business, independent agents pay all their own expenses and keep their own records and earn their income from brokerage commissions on the policies they sell.



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