Submit New Business

IMPORTANT: Please notify us if you have not received an email confirmation within 48 hours of submitting an application. If you cannot see the ‘Upload’ section below, please clear your browser’s cache and cookies, then reload the page.

Fax Application (817) 410-5999

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Upload Application

Use the form below to upload up to 6 applications at a time to Empower Brokerage.

Agent Name *

Email *

Product Type *

Carrier Name *

Writing Number *

Client Name *

Upload Type *

How many files will you be uploading
12345

Would you like a confirmation that we received this submission? *
Yes, send to my email listed aboveNo

Notes

File(s)

MAX Files: 6 | MAX Upload Size (50MB) | Accepted File Type (PDF)

***If you have trouble submitting this form then you may need to adjust your antivirus software to allow the form to collect data.

To fax instead of using this form, send to (817) 410-5999.

DROPTICKET is used to reference a fast submission system where the carrier’s staff completes the application on your behalf. You enter very little information. Then, the carrier contacts your client and takes over from there. There are several different systems like this. See your choices below:

There is no paperwork, no ordering para-med exams, and no processing delays. ExpressComplete lets you gather basic client info and have the carrier do the rest! Raise your production to a new level with no setup or submission costs, a faster process, faster policy decisions, and faster commissions!

Available for:

AIG
Banner
North American
SBLI
United of Omaha

First-Time Users Must Register

Other DropTicket submission methods are found in the iPipeline system, which all Empower Brokerage agents can access from Agent Tools/Comparative Raters/Life Insurance. DropTicket and E-App options are inside iPipeline next to carrier quote information.

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