First Name
Last Name
Phone
*
Email
*
Resident License State
Resident License Writing#
Agent NPN #
*
Hierarchy Level
Rookie Agent 60%
Associate Producer 65%
Senior Producer 70%
Team Leader 75%
Senior Team Leader 80%
Regional Director 85%
Vice President 90%
Senior Vice President 100%
Executive Vice President 110%
Agency 125%
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Upline *Amerus Broker Only
What Group
*
Amerus
Mas Group
Savior Insurance
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Contracting Notes
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Amerus Financial
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