Company Life and Health Forms Revised: May 05, 2017  

Eck Agency Quote Sheets

Insured Data Sheet

Acord Forms through Cap-Dat

Life/Annuity

Major Medical & Supplemental Health
Medicare Supplement
Penn Mutual

Individual Major Medical

Cancer
Thrivent Financial
EMC National Medica Central United Life Old Surety Life
Mutual Trust

Short Term Medical

Washington National Medico
Trinity Life IHC Short Term GTL Mutual of Omaha
Mutual of Omaha Bankers Fidelity
Gerber Guaranteed Issue

Group Major Medical

Washington National  Manhattan Life
National Guardian Life Final Expense United Healthcare AETNA
Pekin Life Starmark Central United Life United Healthcare-AARP
Assurity
Critical Illness/Heart Attack & Stroke
UCT
Hospital Indemnity
Disability
GTL Ameritas Dental & Vision Medico
Assurity Mutual of Omaha  GTL
 Mutual of Omaha Washington National Mutual of Omaha 123
Bankers Fidelity 123Assurity 1Genworth23 123

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