Common Contracts

SELLING AGENT AGREEMENT

Selling Agent Agreement • May 9th, 2014 • Michigan

• Contract Type
  Selling Agent Agreement
• Filed
  May 9th, 2014
• Jurisdiction
  Michigan

This Selling Agent Agreement (“Agreement”), is effective as of the date shown above, between LifeSecure Insurance Company, a Michigan insurance corporation having its principal place of business at 10559 Citation Drive, Suite 300, Brighton Michigan 48116 (”Company”); and the Agent/company (“Agent”) shown above, licensed and appointed in the State(s) identified in Exhibit 2 (collectively, the (“State”) by the appropriate State insurance authority(ies) (collectively, the ”Insurance Authority”) as a life/health/disability insurance agent.