First Name
*
Last Name
*
Phone
*
Email
*
Resident License State
*
Resident License Writing#
*
Agent NPN #
*
Hierarchy Level *Ameurs Brokers Only
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%
LOA
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Upline *Amerus Brokers Only
What Parent Agency
Amerus
Mas Group
Savior Insurance
GoVine
New Agency
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Contracting Notes
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Amerus Financial
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