Simply check the box next to the insurance company you wish to submit the application to at the top of the page.
The Single App will include a question about tobacco use and should be answered even if the rates for your state do not distinguish between tobacco and non-tobacco users.
Please note that the Preferred Plus Class only applies to Great American Life Insurance Company.
We will continue to accept the old apps until 7/31. After July 31, you must use the new Single App if available in your state
http://agentview.gafri.com. Remember to check for e-App availability in your state!
Current Single App Availability:
CRL: IN, KS, NC, ND, VA
CGI: AL, DE, IL, IN, IA, MI, NE, NM, OH, OK, RI, SD, WY
PALHIC: CO, IL, IA, KY, LA, MS, MO, NE, ND, OH, OK, OR, SC, SD, TX, UT, WV, WY
LOYAL: AZ, AR, ID, IL, IN, IA, KY, LA, MI, MS, NE, NC, OH, OK, OR, SC, TN, TX, WV
UTA: AL, AZ, AR, CO, CT, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MS, MO, NE, NM, NC, ND, OH, OK, OR, SC, TN, TX, UT, VA, WV, WY