Long Term Care

Forms

Northwest Louisiana Technical College

Corporation All commissions are paid to the ag

COMMISSION VERIFICATION FORM

To ensure your commissions are paid correctly, please verify the appropriate box is marked below

Must have a corporation/agency license for all states except

To ensure your commissions are paid correctly, please verify the appropriate

box is marked below

Individual All commissions are paid direct to the agents

Corporation All commissions are paid to the agencys TIN

LTC InsuranceMastersTM - Long Term Care Insurance Planners

The agent licensing the corporation must be the principal

COMMISSION VERIFICATION FORM ANN T

Must have a corporationagency license for all states except

Commission verification form - Long Term Care Insurance Planners

The agent may need to provide Articles of Incorporation

Lower Level Subagent

Lower Level Subagent MGA who is receiving override on

commissions must be set up with the company prior to submitting

of the subagent

The MGA will determine the commission level

Pedigree and Panache