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Agentlicensing

INDIVIDUAL PRODUCER DUE DILIGENCE FORM

Attn: Legal Compliance & Regulatory Affairs Dept. One Bala Plaza, Suite 100, Bala Cynwyd, PA 19004 . 610.617.7900 ~ Fax: 610.617.7940 ~ agentlicensing@phlyins.com

PRODUCER PROFILE

Attn: Legal Department . One Bala Plaza, Suite 100, Bala Cynwyd, PA 19004 . 800.873.4552 ~ Fax: 610. 617.7940 ~ agentlicensing@phlyins.com . Please type or print your answers.

2010 Contact Sheet - Independent Agency Sales Traditional ...

... Line1-800-832-8839 Senior Tribute Direct Fax Fax: 1-888-312-1974 Application submission Lead Management System (LMS) 1-219-736-7700, ext.100 E-Mail: http://www.uam.laser2mail.com/ Ordering leads LICENSING/COMMISSIONS Licensing Commissions Collections Phone: 1-850-432-2089 Fax: 1-888-636-4357 E-mail: AgentLicensing ...

Producer Compensation Policy Statement

We do not directly bill policyholders. questions - Should you have questions about licensing requirements for placing business with Medmarc, please feel free to contact: agentlicensing@medmarc.co m .