Choose any of the tabs just above for specific instructions on how to submit your "Request for Term Life Insurance" directly online or by printing and faxing the request to The Thompson Agency at:

860-693-4547

AppAssist

You need to be contracted with Banner and registered for the AppAssist program.  IMPORTANT NOTE:  If you are already licensed with Banner you still have to sign and submit the "Signature Authorization Addendum" in order to use the AppAssist program. Click Here for Licensing Forms (Includes Signature Addendum) Click Here for just the Signature Authorization Addendum

Banner's AppAssist program allows you to submit your business in two ways:

Option #1: Click here to submit online.

Option #2: Click here to download forms...

...complete and fax to: The Thompson Agency at 860-693-4547

Coverage Guidelines
AppAssist program face amounts are limited to coverage amounts below: Banner's call center representative will complete the application part II and order any required exams or reports.

Coverage amount includes:
-  The face amount currently being applied for; PLUS
-  The face amount (including rider amount) of all existing policies
with Banner Life

How to Register for AppAssist
First, submit agent contracting and appointment papers to The Thompson Agency.  You will be issued an agent number which will be your login ID for the AppAssist program.  Click here for Licensing & Contracting forms.  You must also sign and submit the "Signature Authorization Addendum" form. Important Note: If you are already licensed with Banner you still have to sign and submit the "Signature Authorization Addendum" form in order to use the AppAssist program. Questions?  Contact Us >>

 

Life Quick Request

Genworth's Life Quick Request program allows you to submit your business in two ways:
Option #1: Click here to submit online.

Option #2: Click here to download forms, complete... ...and fax to: The Thompson Agency at 860-693-4547

Both options request basic information - client name, address, phone number, and a few questions about the level premium period, beneficiary, reason for insurance, nicotine use, billing frequency and if one or more policies are being replaced.

Genworth's fulfillment center will complete the process.  They'll contact the applicant to get all the details and your clients can voice-sign the needed authorizations.  While on the phone, they'll schedule a paramed.  Later, Genworth fulfillment will order additional requirements if needed.

Improve issue time, Reduce the need for additional requirements and Simplify your customer's experience with Life Quick Request.

Questions?  Contact Us >>

 

The Hartford's Request for Term Insurance Application
program requires FAX submission:
Click here to download forms, complete and fax to:
The Thompson Agency at 860-693-4547

What Happens Next?
The Hartford will take from there.  Your client will be interviewed by phone and the application will be completed.  Underwriting Requirements will be ordered and you will be kept informed of the case status.

Questions?  Contact Us >>

 

Prudential's Xpress Quick Form process:
FAX Submission is Required for Face Amounts under $250,000
(not to be used for juvenile applications & not available in MA, NJ, NY, VT)

Click here to download forms, complete and fax to:
The Thompson Agency at 860-693-4547

What Happens Next?
Prudential will take from there.  Your client will be interviewed by phone and the application will be completed.  Underwriting Requirements will be ordered and you will be kept informed of the case status.

Questions?  Contact Us>>

 

West Coast Life's EZ-App & TeleLife allow you to submit in two ways:

EZ-App: Click here to submit online.

TeleLife: Click here to download forms, complete and fax to:
The Thompson Agency at 860-693-4547

Both options request basic information - client name, address, phone number, and a few questions about the level premium period, beneficiary, reason for insurance, nicotine use, billing frequency and if one or more policies are being replaced.

West Coast Life will complete the process.  They'll contact the applicant to get all the details and your clients can voice-sign the needed authorizations.  While on the phone, they'll schedule a paramed.  Later, WCL will order additional requirements if needed.

Improve issue time, Reduce the need for additional requirements and Simplify your customer's experience with Life Quick Request.

Questions?  Contact Us >>