Please open the application file below, print it, fill it out and then fax to 319-447-1432. Please go to the area below called Questionnaire and put in your responses, then hit the submit button and it will be emailed to us for evaluation.
Name:
Street Address:
City: State: Zip:
Please answer the questions below to the best of your ability. You may take as much space as needed, the answer boxes will continue to scroll.
1. What do you know about Medicare Supplements?
2. If you have solicited Medicare supplements before, how?
3. What motivates you in the insurance business?
4. What do you think it takes to build a successful business?
5. How can you help my agency grow during the Medicare open enrollment period?
