Activate Your Account
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Please confirm the following information is accurate
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Business Information
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Authorized person assisting in licensing or contracting agents
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If you would have an authorized staff that assists you in licensing or contracting of agents.\n Please complete the information below to setup a login for this support person. They will\n not have access to the commission module.
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Personal Information
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Contact Information
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\n Products and Payout Setup
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Product | \nYear 1 Compensation | \nYear 2 Compensation | \n
{{product.RealName}} | \n{{product.Y1}}% | \n{{product.Y2}}% | \n
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W9 Information
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Deposit Information
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License Information
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Agency Resident License Information (AS SHOWN ON RESIDENT\n LICENSE)
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Resident Individual License Information (AS SHOWN ON RESIDENT\n LICENSE)
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E&O Coverage
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Background questions
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\n 1. Are you now or have you ever been included in litigation with an insurance company?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 2. Do you currently have a debit balance with any insurance company?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 3. Have you ever had your insurance or securities license suspended or revoked?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 4a. Have you ever been charged with, convicted of, or plead guilty or nolo contendere\n (\"no contest\") to a felony of any kind?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 4b. Have you ever been charged with, convicted of, or plead guilty or nolo contendere\n (\"no contest\") to a misdemeanor involving insurance or fraud?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 5a. Has any domestic or foreign court ever found you guilty in connection with any\n insurance or investment-related activity?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 5b. Has any domestic or foreign court ever found that you violated any insurance-related\n statutes or regulations?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 6a. Has any Federal regulatory agency or any state regulatory agency or foreign\n financial regulatory authority ever found you to have made a false statement or omission\n or been dishonest, unfair or unethical?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 6b. Has any Federal regulatory agency or any state regulatory agency or foreign\n financial regulatory authority ever found you to have been involved in a violation of\n insurance or investment regulations or statutes?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 6c. Has any Federal regulatory agency or any state regulatory agency or foreign\n financial regulatory authority ever found you to have been the cause of any insurance or\n investment-related business having its authorization to do business denied, suspended,\n revoked or restricted?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 6d. Has any Federal regulatory agency or any state regulatory agency or foreign\n financial regulatory authority ever entered an order against you in connection with any\n insurance or investment-related activity?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 6e. Has any Federal regulatory agency or any state regulatory agency or foreign\n financial regulatory authority ever denied, suspended, or revoked your registration or\n license or otherwise prevented you from associating with any insurance or\n investment-related\n business, or disciplined you by restricting your activities?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 7a. Have you ever been the subject of any insurance or investment-related, consumer-\n initiated complaint or proceeding that alleged compensatory damages of $2,500 or more,\n or found fraud or the wrongful taking of property?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 7b. Have you ever been the subject of any insurance or investment-related, consumer-\n initiated complaint or proceeding that was settled or decided against you for $1,000 or\n more, or found fraud or the wrongful taking of property?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
\n 8. Are you now the subject of any complaint, investigation, or proceeding that could\n result in a \"yes\" answer to questions 1 - 7?\n \n | \n\n | \n \n \n | \n\n \n \n | \n\n
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Review & Sign
\nWe consider it a great privilege to partner with you. We believe the marketplace needs solutions\n that can solve immediate needs with products and lifestyle benefits. We look forward to working with you\n and getting to know you.\n
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Review your Sales Agreement
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AFEUSA Marketing Agreement
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- \n All AFEUSA communications to recruit agents/reps to market AFEUSA memberships and\n subsequently, the other services and insured products offered by AFEUSA must be approved for\n use in writing by Dylan Consulting, the exclusive marketer for AFEUSA memberships\n and endorsed products made available upon membership.\n \n
- \n All AFEUSA communications regarding promotion of the AFEUSA memberships, endorsed services\n and insurance products with prospective AFEUSA members or existing members must be approved\n in writing by Dylan Consulting before use; examples are collateral material,\n websites, all similar communications – visual promotional material.\n \n
- \n Dylan Consulting will provide approved templates of recruiting communications to engage\n sales reps to promote AFEUSA memberships and Dylan Consulting will make approved\n communications available for use with prospective AFEUSA members (or for existing\n members).\n \n
- \n If a AFEUSA marketer has special needs for advertising/communication, please submit these\n drafts to Dylan Consulting; Dylan will be the intermediary to work with AFEUSA, plus any\n applicable carriers - for review and written approval, prior to use.\n \n
- \n If you are not currently using approved AFEUSA communications or materials – please\n immediately discontinue use of any messaging regarding AFEUSA or the services/products\n offered by AFEUSA.\n \n
- \n No communications for recruiting AFEUSA sales representatives OR sales materials to\n prospective AFEUSA members (or existing members) are permitted without written approval from\n Dylan Consulting.\n \n
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Everything starts with the AFEUSA membership; services and insured products are accessed after\n becoming a AFEUSA Member. Qualifications of membership:\n
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- \n Must be age 18+ and residing in the USA.\n \n
- \n Member is actively working, or capable of working and must be in good standing to obtain,\n access or purchase any programs offered by AFEUSA.\n
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- \n Member may be currently working as an entrepreneur (gig economy) or is considering\n doing so.\n \n
- \n Member is joining the AFEUSA personally; only the enrolling member may join/enroll\n in AFEUSA membership (family members may be included in the enrollee’s membership,\n if applicable).\n \n
- \n Member can have one AFEUSA membership.\n \n
- \n Member can have one of the ‘same’; benefit, product, program, or service provided by\n AFEUSA.\n \n
- \n Membership does not create any relationship of an employer-employee.\n \n
\n - \n After an enrollee purchases the AFEUSA membership – the member has access to AFEUSA\n membership benefits; members have the option to purchase available insured products such as\n Dental coverage, Group Term Life insurance and ancillary health products (i.e.\n Critical Illness, Accident Medical Expense, Hospital Indemnity).\n \n
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With this signature, I certify that all information provided is true, accurate and complete to\n the best of my knowledge:
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