
Submit your "Term Life Request for Insurance Form" online, (or download forms, complete and FAX to The Thompson Agency at 860-693-4547). Company teams contact the applicant to get details, order a Paramed and additional requirements. Save time, reduce the need for additional requirements and simplify your client's experience with FastApps. See below to get started.
Recent research from LIMRA indicates that customers who go through a needs analysis are significantly more likely to purchase life insurance. Of those who performed a life insurance needs analysis, 73% went on to purchase a policy versus just 49% of those who had shopped for life insurance but never performed a needs analysis. (Source: LIMRA, Life Insurance Buyers/Non-Buyers Study 2011)

Banner's AppAssist program allows you to submit your business in two ways:
Option #1: CLICK HERE to submit online.
Option #2:
(a) CLICK HERE to download and print applicant instructions
(b) CLICK HERE to download forms...
(c) ...complete forms 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.
|
Issue Age |
Coverage Amount |
|
< 70 |
Up to $3,000,000 |
|
71 & Older |
Up to $500,000 |
Coverage amount includes:
- The face amount currently being applied for; PLUS
- The face amount (including rider amount) of all existing policies with Banner LifeImprove issue time, Reduce the need for additional requirements and Simplify your customer's experience with FastApps.
Questions?

Option #1: CLICK HERE to submit online
Option #2: Paper forms with fax submission:
(a) CLICK HERE to download and print applicant instructions
(b) CLICK HERE to download forms...
(c) ...complete forms and fax to:
The Thompson Agency at 860-693-4547
Coverage Guidelines
AppAssist program face amounts are limited to coverage amounts below: William Penn's call center representative will complete the application part II and order any required exams or reports.
|
Issue Age |
Coverage Amount |
|
< 70 |
Up to $3,000,000 |
|
71 & Older |
Up to $500,000 |
Coverage amount includes:
- The face amount currently being applied for; PLUS
- The face amount (including rider amount) of all existing policies
with William PennLife
Improve issue time, Reduce the need for additional requirements and Simplify your customer's experience with FastApps.
Questions?
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 FastApps.
Questions?