Ameritas Life Insurance Corp.
Please complete and return the Ameritas Appointment Application
The completed form can sent to Ameritas by:
- Email: group_licensing@ameritas.com
- Fax: 402.467.7342.
An appointment is required for both you and your agency. (Only one set of paperwork is required.)
IMPORTANT: Please note on the front page of the application that your request for appointment is for CBIA business.
There are no fees for new or renewing appointments.
A lapsed appointment automatically terminates appointment with the state. Agents will be notified if this occurs.
CBIA IS FIGHTING TO MAKE CONNECTICUT A TOP STATE FOR BUSINESS, JOBS, AND ECONOMIC GROWTH. A BETTER BUSINESS CLIMATE MEANS A BRIGHTER FUTURE FOR EVERYONE.