Producer Contracting ChecklistProducer Contracting Checklist • June 22nd, 2018
Contract Type FiledJune 22nd, 2018Licensing And Appointment − No fees are due at this time. Appointment fees will be taken from your commission statement for the SLAICO appointment.
Appointment Contract & Business Associates Agreement– signed and dated Copies of current individual license(s) for each state you plan to write business in.Producer Contracting Checklist • February 13th, 2012 • Arizona
Contract Type FiledFebruary 13th, 2012 JurisdictionThis authorizes Pivot Health Holdings, LLC or Allied National on behalf of Pivot Health Holdings, LLC to send credit entries (and appropriate debit and adjustment entries) electronically, or by any other commercially accepted method, to my (our) account indicated below and to other accounts I (we) identify in the future (the "Account"). This authorizes the financial institution holding the Account to post all such entries.
Producer Contracting ChecklistProducer Contracting Checklist • July 27th, 2016 • New York
Contract Type FiledJuly 27th, 2016 JurisdictionCommission Schedule(s) – No signature required, however, must be returned with the Producer Agreement to ensure accurate commission payment
Producer Contracting ChecklistProducer Contracting Checklist • March 15th, 2016 • Arizona
Contract Type FiledMarch 15th, 2016 JurisdictionLicensing And Appointment − No fees are due at this time. Appointment fees will be taken from your commission statement for the SLAICO appointment.