If you have any questions at all, give us a call at We look forward to working with you!

Transcription

1 Contracting with Neishloss & Fleming, Inc. is now easier than ever! Neishloss & Fleming, Inc. offers the services of SureLC for contracting with various Health, Life, and Senior carriers. With the exception of a few carriers, you will be able to contract for multiple carriers in about eight minutes or less with the click of a mouse. You can complete your agent profile and submit your complete contracting requests to Neishloss & Fleming, Inc. without having to fill out a single piece of paper! To begin contracting through SureLC, simply follow the link below to get started: Once the page loads, select New User? to register for SureLC (NOTE: If you have already registered for SureLC and you are adding a carrier to your profile, simply log in using the Login and Password that you previously created). A new page will reload that looks like this: The only thing that you need to remember is to list Neishloss & Fleming, Inc. on the Affiliation Line. You will then enter all of your personal information into the requested fields, click Add Me and SureLC will pull your information from the NIPR database. After the data transfer is complete, you will be able to change/update any of the prepopulated information as well as upload a copy of your voided check, proof of E&O insurance, Signature Page and N&F agent addendum (both documents are provided in this pack immediately following this page and must be attached to SureLC). If you do not have access to a scanner, please feel free to use the provided fax cover sheet and fax the forms (as well as a copy of your voided check for EFT) to and we will them to you in PDF format. At the end of this pack you will find a SureLC FAQ containing additional information on the SureLC online contracting process. If you have any questions at all, give us a call at We look forward to working with you!

2 Date: I,, would like to be appointed for Agent Name Foresters Term Life Carrier Name through Neishloss & Fleming, Inc. My Commission level for this carrier is 110%. Commission Level Should you have any questions, please call me at. Phone Number Sincerely, Agent Signature By signing and electronically submitting this form, I am agreeing to contract for the carrier(s) listed above at the stated commission level with the stated hierarchy.

3 Signature Authorization PLEASE READ THIS AUTHORIZATION, SIGN IN THE BOX BELOW AND SUBMIT THIS FORM BY FOLLOWING THE INSTRUCTIONS PROVIDED ON THE COVER PAGE. I,, hereby authorize SuranceBay, LLC and its general agency customers (the Authorized Parties ) to affix or append a copy of my signature, as set forth below, to any and all required signature fields on forms and agreements of any insurance carrier (a Carrier ) designated by me through the SureLC software or through any other means, including without limitation, by or orally. The Authorized Parties shall be permitted to complete and submit all such forms and agreements on my behalf for the purpose of becoming authorized to sell Carrier insurance products. I hereby release, indemnify and hold harmless the Authorized Parties against any and all claims, demands, losses, damages, and causes of action, including expenses, costs and reasonable attorneys' fees which they may sustain or incur as a result of carrying out the authority granted hereunder. By my signature below, I certify that the information I have submitted to the Authorized Parties is correct to the best of my knowledge and acknowledge that I have read and reviewed the forms and agreements which the Authorized Parties have been authorized to affix my signature. I agree to indemnify and hold any third party harmless from and against any and all claims, demands, losses, damages, and causes of action, including expenses, costs and reasonable attorneys' fees which such third party may incur as a result of its reliance on any form or agreement bearing my signature pursuant to this authorization. Please sign in the center of the box below. Please use BLACK ink. PRODUCERIDXXX

4 TO: COMPANY: Contracting FROM: DATE: FAX NUMBER: RE: TOTAL NO. OF PAGES INCLUDING COVER: Supporting Documentation for SureLC URGENT FOR REVIEW PLEASE COMMENT PLEASE REPLY PLEASE RECYCLE Please find attached my information to complete the SureLC contracting process. I do not have access to a scanner to attach the documents in PDF format. I have included the following documents: N&F Contracting Addendum SureLC Signature Page Proof of E&O Voided Check Supporting Documents for Background Questions Below you will find my contact information in case all documents have not been received as well as to return the forms: Agent Name: Phone Number: Address: S W A L L O W H I L L R O A D, B U I L D I N G 3 0 0, T H E B O U R S E, PIT T S B U R G H, P A V O I C E ( ) F A X ( ) W W W. N E I S H L O S S. C O M

5 SureLC FAQ Do I have to install software onto my computer to use SureLC? No, you do not have to install software to enjoy the benefits of SureLC. You can access SureLC through a web link on the Neishloss & Fleming, Inc. website. How long does it take to set up my SureLC agent profile? You can be set up in SureLC and ready to submit contracting through SureLC in about 8 minutes. Will I be required to complete a new agent profile each time I log into SureLC? No! After you complete your initial agent profile in SureLC, your information will be saved for the next time you want to contract for a carrier. Can I select and submit contracting for multiple carriers at one time using SureLC? You will be able to submit multiple contracts while logged in to SureLC; however you cannot select multiple carrier contracts at one time because SureLC does ask additional questions based upon the carrier selected. How do I electronically sign the contracting forms in SureLC? You have two options for loading your signature into the SureLC website. The first option is to physically sign the Agent Signature document, scan it into your computer, and manually attach the document. The second option is to use your mouse to create an e-signature in the SureLC database. When completing the Agent Profile section of your profile, you will have the option to select the method you wish to use. How do I get a copy of my voided check, E&O, and Signature Page into SureLC? You have a few options of uploading this information into the SureLC database. The first option is to scan and upload a copy of the documents and manually attach them to SureLC. The second option (which is a new feature to SureLC) is to use your computer s webcam and take a picture of the documents. The webcam picture will automatically load the documents into the documents tab of SureLC. If appointment fees are required for a carrier, am I able to pay them through SureLC via credit card? Unfortunately, if an appointment fee is required, you will need to send a check to Neishloss & Fleming, Inc. via USPS as SureLC is not set up to accept fee payment electronically. The fees can be mailed to: Neishloss & Fleming, Inc. Attn: Administrative Division 2275 Swallow Hill Rd. Building 300 Pittsburgh, PA 15220

6 Traditional Commission Schedule MGA1 Effective October 1 st 2012 Rates of Commission: Individual Insurance Plans, Riders & Benefits his Schedule shall form part of the Producer Agreement. Commission rates stated in this or any Producer Commission Schedule are payable to the Producer only on production written by the Producer, based on the Producer Commission Schedule in effect as of the Certificate application signed date. LIFE INSURANCE PRODUCTS Product First Year Year LifeFirst 10 Yr Term - Medical 84.00% 0.00% LifeFirst 20 Yr Term - Medical 95.00% 0.00% LifeFirst 20 Yr Term Non Medical % 0.00% Smart UL Target* 95.00% 1.75% Smart UL Excess 1.75% Prepared Accidental Death Term (General States) % 1.50% Prepared Accidental Death Term (Alternate States) 87.00% 0.00% Advantage Plus Pay 100* Simplified Issue 90.00% 10.00% 2.25% Advantage Plus Pay 100* Fully Underwritten 90.00% 10.00% 6.00% Advantage Plus 20 Pay* 65.00% 2.25% Term 10 Rider 70.00% 2.25% Term 20 Rider 85.00% 2.25% PUAR (Single and Flexible) Payments * Commission Capped 1. Maximum commission age is 65 for Smart UL 2. Maximum commission age is 65 for Foresters Advantage Plus 2.00% for each payment in all certificate years First-year Annualized Commissionable Premium The first-year annualized commissionable premium is the annualized first-year target premium for Universal Life and the annualized first year premium on all other insurance products, except for the following situations: The policy fee on medically underwritten policies is non-commissionable. Producers will be compensated on staff discounted business (business written on Foresters employees) based on 50% of applicable first year commissions. On Foresters Universal Life Plans, the first year compensation is based on the annualized target premium unless both the annualized minimum premium and the annualized planned premium are less than the annualized target premium in which case it is whatever is greater: the annualized minimum premium or the annualized planned premium. The Universal Life excess premium is the first year premium paid in excess of the first year annualized commissionable premium on Universal Life Certificates. Compensation on the PUAR deposit is paid when the payment is processed at Foresters House. Internal rollovers to PUAR are not compensated. Traditional Commission Schedule - MGA1 Page 1 of 4 Sept. 2012

7 First Year Commission Calculation Life Products First year compensation on life Certificates will be paid at issue when the Certificate is issued standard as applied for and has the appropriate Cash with Application (CWA as defined by Certificate Services see Toolkit on Foresters website). First year compensation on cases with outstanding requirements such as life amendments, premium shortages greater than $5.00, as well as COD cases will be paid upon submission of the outstanding requirements. First Year Commission Chargebacks Life Products First year commissions are deducted in the current month on insurance products for losses processed at Foresters due to first-year lapses, cancellations, product not taken and firstyear surrenders. First year commissions on Universal Life excess premium are deducted when Universal Life excess premium payment reversals are processed by Foresters. If the Producer has signed an Advance Commission Addendum ( Addendum ) and commissions have been advanced on a life Certificate issued on or after the effective date of the Addendum (defined as the date that Foresters processed the Addendum) and pursuant to the terms thereof, the Producer shall repay immediately to Foresters: an amount equal to: The difference between commissions advanced less the portion of commissions earned based on premiums paid to Foresters. If the Producer s signed Advance Commission Addendum is revoked by Foresters, then commissions on Certificates issued on or after the effective date of that revocation shall be deemed to have been earned on the date that a premium is received by Foresters and credited to the Producer s account, and shall not be charged back on any Certificate that goes out of force (other than product not taken) in the first twelve months of the first Certificate year. If the Producer has not signed an Advance Commission Addendum, commissions shall be deemed to have been earned on the date that a premium is received by Foresters and credited to the Producer s account, and shall not be charged back on any Certificate that lapses or otherwise goes out of force (other than product not taken) in the first twelve months of the first Certificate year. If, at the end of the first year on a Universal Life Certificate, first year premiums actually received are less than the commissionable annualized premium, first year commission is deducted on the premium difference between the commissionable annualized premium and the first year premiums actually received. A three-year chargeback schedule for any Face Amount decreases is imposed on Universal Life certificates. Decreases in Face Amount made in the: 1) First certificate year will be subject to a 100% chargeback of the decreased portion; 2) Second certificate year will be subject to a 66% chargeback of the decreased portion and; 3) Third certificate year will be subject to a 33% chargeback of the decreased portion. Traditional Commission Schedule - MGA1 Page 2 of 4 Sept. 2012

8 Indebtedness It is understood and agreed that you shall be responsible to Foresters for your indebtedness owed by you, as well as for the indebtedness of your licensed producer, if any, whether or not termination of such licensed producer occurs. If at any time your commission account with Foresters is negative, the total negative amount will be applied as follows in that order towards the indebtedness until both a. and b. below are reduced to a zero balance: a) 100% of your total first year and renewal commissions to your personal production indebtedness. b) Foresters reserves the right to apply up to 100% of your first year, renewal and any other commissions to your indebtedness for any licensed producers. Plan Increases On Foresters non-ul traditional plan increases, first year compensation is based on the increase in annualized premium only. First year compensation is paid on UL increases where specific conditions exist, as outlined in the guidelines found under Universal Life Increases on Foresters website. Pre-paid Premiums First year compensation is not payable on premiums that are pre-paid for future renewal year premium payments. Where applicable, renewal commissions will be paid on those premiums as they are allocated to each Certificate year. Reinstatements If the reinstatement occurs in the first year of the Certificate and was a reinstatement of a first year lapse or surrender, first year compensation previously deducted is re-credited in the month the reinstatement was processed at Foresters. Controlled Business All business written on an agent s own life, their spouse/partner or their children/stepchildren is considered controlled business. Likewise, all business written whereby the agent is the payor, policy owner or beneficiary will also be considered controlled business. For all controlled business, the commissions will be paid out as earned regardless of your compensation arrangement. Replacement Rules A Certificate is regarded as a replacement Certificate if it meets the definition of Replacement set out in state regulation and Foresters written policies. First year compensation from replacements of any business from products provided by Foresters is based on the increase in annualized commissionable premium only. This is applicable to all replacements identified as such at the time of submission and for partial or full term conversions where the old Certificate has been in force for less than 24 months. Any Certificate that is issued within 13 months of a lapsed Certificate on the same life Traditional Commission Schedule - MGA1 Page 3 of 4 Sept. 2012

9 (either pre- or post-application date) will be considered a replacement and first year compensation will be reduced. No first year compensation is paid on internal rollover money. Additional compensation rules regarding Replacements can be found on Foresters website. Returned Premiums If Foresters returns a premium or part thereof to the insured for any reason, the Producer shall waive all right to the commission, if any relating thereto and shall repay to Foresters any commission received in respect thereof. Traditional Commission Schedule - MGA1 Page 4 of 4 Sept. 2012