Direct Line: 727-238-7513 E-mail: nals@email.com

"NALS" IS A PROUD MEMBER OF THE "AIP MARKETING ALLIANCE".
HOME PAGE
ABOUT OUR COMPANY
OUR "AGENT/AGENCY" OPPORTUNITY
OUR CARRIERS
SIGN UP HERE
MEMBER LOG-IN

READY TO GET STARTED NOW?
Just complete the registration and on-line contracting form below.

STEP 1 - Complete our "AGENT/AGENCY" Opportunity Registration and on-line contracting"
(Contracting with at least ONE of our Primary carriers is required)

Contract with ANY one or more of our PRIMARY CARRIERS listed under the "OUR CARRIERS" tab to qualify for access to our "AGENT/AGENCY" Opportunity INCLUDING the initial "LeadResponse" leads offer! We will provide you with UP TO 8 weeks (10 per week) of our initial "LeadResponse" leads to get you started. We will also begin to develop a specific marketing plan for your business which will include getting you involved in our other lead programs such as our direct mail leads, telemarketing leads, voicemail leads, seminars and so much more.

Please fill in form completely
PART A - Your Lead Selection

What type of "LeadResponse" leads would you like? (Choose only one)

Annuity leads
Mortgage Protection/Life leads
Final Expense/Senior Life leads
Medicare Supplement leads
Combination of leads*

From what zip code would like your "LeadResponse" leads from? (Choose only one)

(Please note- We can usually stay within a 1-10 mile radius of this zip code.)

PART B - Your Carrier Selection

REQUIRED - Select the insurance carrier(s) you plan to contract with or transfer an existing contract(s) with through National Annuity and Life Sales in order to qualify for our "AGENT/AGENCY" opportunity and initial leads: (Check all that apply)

-Contract with at least ONE carrier - Get 2 weeks of FREE leads
-Contract with at least TWO carriers - Get 4 weeks of FREE leads
-Contract with at least FOUR carriers - Get 6 weeks of FREE leads
-Contract with at least SIX carriers - Get 8 weeks of FREE leads

OUR PRIMARY CARRIERS (Select one or more. Maximum of 6)

**MOST CARRIERS NOW REQUIRE E&O INSURANCE**

MAIN ANNUITY CARRIERS. LIFE PRODUCTS ALSO AVAILABLE.
ALLIANZ Preferred- Most Popular - (E&O IS REQUIRED)
AMERICAN EQUITY - Most Popular
AMERICAN NATIONAL - (E&O IS REQUIRED)
ATHENE ANNUITY/AVIVA - (E&O IS REQUIRED)
F&G LIFE - (E&O IS REQUIRED)
GREAT AMERICAN - (E&O IS REQUIRED)
EQUITRUST - (E&O IS REQUIRED)
NORTH AMERICAN - (E&O IS REQUIRED)
NASSAU RE - (E&O IS REQUIRED)
NATIONAL WESTERN - (E&O IS REQUIRED)

MAIN LIFE CARRIERS
AMERICAN GENERAL LIFE - Most Popular
BANNER LIFE - (E&O IS REQUIRED)
TRANSAMERICA - (E&O IS REQUIRED)

MAIN FINAL EXPENSE CARRIERS
FORESTERS - Most Popular - (E&O IS REQUIRED)
MUTUAL OF OMAHA - (E&O IS REQUIRED)
TRANSAMERICA - (E&O IS REQUIRED)
UNITED HOME LIFE - Most Popular

MAIN MEDICARE SUPPLEMENT CARRIERS
UNITED AMERICAN - Most Popular
CIGNA
HUMANA
AETNA

MAIN SPL CARRIERS
EQUITRUST - (E&O IS REQUIRED)
LINCOLN NATIONAL - (E&O IS REQUIRED)

OTHER AVAILABLE CARRIERS *If you want to contract with any of our other available carriers, you will be able to do so AFTER you register.

OUR CARRIERS
*All contracts are top street level General Agent contracts or above. NO cut in commissions!


Our Top PRIMARY Carriers:*

MAIN ANNUITY CARRIERS. LIFE PRODUCTS ALSO AVAILABLE.
- ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
- AMERICAN NATIONAL
- AMERICAN EQUITY INVESTMENT LIFE INSURANCE CO.
- ATHENE ANNUITY/AVIVA
- EQUITRUST
- F&G LIFE
- GREAT AMERICAN
- NATIONAL WESTERN
- NORTH AMERICAN
- NASSAE RE


MAIN LIFE CARRIERS
- AMERICAN GENERAL LIFE
- BANNER LIFE
- TRANSAMERICA


MAIN FINAL EXPENSE CARRIERS
- FORESTERS
- MUTUAL OF OMAHA
- TRANSAMERICA
- UNITED HOME LIFE


MAIN SINGLE PREMIUM LIFE CARRIERS.
- EQUITRUST
- LINCOLN FINANCIAL


MAIN MEDICARE SUPPLEMENT CARRIERS.
- AETNA
- CIGNA
- HUMANA
- UNITED HEALTH CARE

PART C - Your Profile and Licensing Information

*Name
*Email
*Home address
*Home city
*Home state
*Home zip
*Home phone
Corporate name (If applicable)
Business address (If same as home write "same")
Business city
Business state
Business zip
Business phone
Business fax
*Do you have E&O coverage? REQUIRED for certain carriers. MUST PROVIDE CERTIFICATE.

Patriot Act Mandates Anti-Money Laundering Training for ALL Agents
The Patriot Act mandates anti-money laundering training to comply with new federal regulations that took effect on May 2, 2006. The online training must have been completed by August 2006. After August 2006, any new business will not be processed by insurance companies without proof of completion of anti-money laundering training. This training must be completed prior to contracting with us.
Have you completed the AML training?

To help us determine what carriers we might not be able to offer, please answer the following:

Do you have any past or current bankruptcy? What year?
Do you have any current Liens or past due accounts?
Do you have any vectors or owe money to any insurance companies? How Much?

PART D - Your business

To help us provide you with the best way to help you, please tell us a little about your business:

What are your primary marketplaces? (i.e. seniors, life insurance, Estate planning, etc.)
How long in the insurance business:
Is insurance your full time job now? if not what do you do now?
Are you a captive agent?
Are you securities licensed?
How would you describe your current situation with your insurance business:
Do you have a database of clients? If yes, how many?
Do you current have any agents in your down line? If yes, how many?

*PRODUCTION HISTORY
What Annuity companies are you currently writing for?
What Life companies are you currently writing for?
What Final Expense companies are you currently writing for?
*TOTAL Number of Annuity paid cases Last 12 months: *TOTAL Paid Annuity Premium last 12 months:
*TOTAL Number of Life paid cases Last 12 months: *TOTAL Paid Life Premium last 12 months:
*TOTAL Number of Final Expense paid cases Last 12 months: *TOTAL Paid Final Expense Premium last 12 months:
How are you currently generating your leads? (i.e. advertising, telemarketing, direct mail, etc.):
What is your monthly marketing budget for lead generation?
How many appointments did you usually run every month?
What did you make last year selling insurance?
How much money do you need to make this year at a minimum?
What areas or products would you like additional training or information on?
Do you currently need any assistance on any cases you are working?

Any additional comments about yourself or your current business that you would like to add?


How did you hear about us? (Please check one)
Yahoo search Google search Other search Senior Market Advisor Magazine Life Selling Magazine Senior Advisor Magazine Post Card
Phone call E-mail Another Agent / (Referring Agent name)= Other I am a current contracted member

Questions or Comments

PART E - MEMBER AGREEMENT
Our "AGENT/AGENCY" Opportunity Agreement

1. I have read and I understand the complete description of your opportunity.
2. I understand that I am receiving access to ALL items listed in the “AGENT/AGENCY” Opportunity and not just the initial “LEADRESPONSE” leads.
3. I understand I will receive online access to ALL items listed in the "AGENT/AGENCY" Opportunity within one business day.
4. I understand I will receive the "LeadResponse" leads (at least up to 8 weeks worth of lead. 10 leads each per week) via EMAIL beginning in approximately 7-10 BUSINESS DAYS. The amount of free weeeks of leads will be based on how many carriers I contract with as follows:
Contract with at least ONE carrier - Get 2 weeks of FREE leads
Contract with at least TWO carriers - Get 4 weeks of FREE leads
Contract with at least FOUR carriers - Get 6 weeks of FREE leads
Contract with at least SIX carriers - Get 8 weeks of FREE leads
5. I understand that I will receive the leads that I selected on my sign up form and that I cannot change my initial order once I start receiving my free leads.
6. I understand that I should follow the instructions provided with the initial leads in order to generate the maximum amount of appointments.
7. I understand that it is my responsibility to notify “National Annuity and Life Sales” within 10 business days if my leads are not received and that “National Annuity and Life Sales” is not responsible for my leads being deleted or placed in a spam folder by my email service provider.
8. I understand that the initial “LEADRESPONSE” leads are just one part of the “AGENT/AGENCY” Opportunity and are meant to be a supplement to the other items in the “AGENT/AGENCY” Opportunity.
9. I understand I should implement and invest in some of the other lead programs to take full advantage of your program along with qualifying for your “FIRST APP” promotion.
10. I understand I must execute a new or transfer an existing contract with one of your listed PRIMARY insurance carriers before receiving access to your "AGENT/AGENCY" opportunity
11. I understand that if I am declined contracting or not approved with at least one of your PRIMARY carriers, I will not receive the initial leads.
12. NALS is making an initial investment in your business by providing you with our initial leads along with access to our exclusive copyrighted material, training and lead programs at NO cost to you. Therefore we expect an honest effort on your part to work the leads and programs as instructed and attempt to place a portion of your business with the carrier(s) you contracted with through NALS. For our protection and to prevent abuse of our leads and programs, NALS does not provide contract releases within the first six months of joining our program.
13. I understand this program is for my use only and may not be copied or distributed to any other persons.
14. I understand that the initial leads for contracting offer is ONLY good at time of signing up for your opportunity and that if I decide to add carriers to NALS at a later date that it DOES NOT provide additional leads.
15. I understand that I am an independent contractor and that my commissions are paid directly from the insurance carriers. All Commissions are paid upon issue and delivery of policy, not submitted.
16. I understand that the “First APP” Promo becomes available upon my first paid case. I also understand that any cases submitted on myself or immediate family do NOT count towards the FIRST APP promo. I understand that the paid case MUST be at least $10,000 in premium for an annuity app or $50 per month in premium for life app in order to qualify for the FIRST APP promo. Restrictions on use apply.
17. I understand that the initial leads are provided by a 3rd party insurance lead vendor and not generated or provided directly by NALS. NALS assumes no responsibility for the accuracy or quality of the initial leads.
18. I understand that after I submit this registration, I must complete, sign then fax or email the contracting paperwork on the next page to National Annuity and Life Sales to complete the contracting process or I will not receive access to the "AGENT/AGENCY" Opportunity or the initial free leads.
19. The “First App” promo or any other program, incentive or promotion offered by “National Annuity and Life Sales” is only valid to our agents in good standing. (No current Letter of Intent to transfer or agent debt with us).
20. NALS offers UP TO 9 months advanced commissions on most carriers for Life and Final Expense products based on the following:
1. All NEW agents to NALS will be offered 6 months advanced commissions to start and can be raised to a 9 months advanced after 5 issued and paid Life policies.
2. Any NEW agents to NALS that provides proof of last 12 months of paid-for life premium of at least $10,000 with a persistency ratio of at least 70% will be offered 9 months advanced commissions to start instead of 6 months.
3. Any agents with bankruptcies in the past three years, current major credit issues or any outstanding agent debt with other carriers will not qualify for our advanced commission program. Agents will be placed at as-earned commissions only to start and can be raised to a 6 or 9 months advanced after 90 days based on production and quality of business with us.
21. I have reviewed the commission schedules and agree to the terms.
22.I understand that I must submit any sub agents contracts that I recruit directly to National Annuity and Life Sales for processing.
23.I understand National Annuity and Life Sales is providing me with this opportunity and will provide assistance, but has not guaranteed that I will be successful or make any stated amount of money and that my success and income will be determined by my effort.
24.I agree that I will consult with NALS and work with them to develop a specific plan for my business and do my best to implement that plan..

I have read and I understand the complete description of your opportunity and agree to the terms above.



*Once you hit "CLICK HERE TO SUBMIT", you will be forwarded to our "Online Contracting Page" to complete your carrier(s) contracting paperwork that you selected above. Once we receive your signed carrier contract(s), we will submit for verification. This can take up to the next business day.

Once we receive verification, we will:

- Email you an ID and Password to access our "AGENT/AGENCY" Opportunity agent website for complete information and material.
- Order your initial "LeadResponse" leads. Your first set of leads will be emailed within 7-10 days.
- Contact you to set up a time to discuss building a specific plan for your business and to get you involved in our other lead programs.


Disclaimer - This site is for agent use only. All programs and materials provided by NALS are generic in nature, for informational purposes only and are not product or company specific unless otherwise stated. Some of the programs are offered through 3rd party vendors or are non-insurance related. Insurance products and Annuities are not for everyone and should only be recommended if they are suitable for the client. We believe in offering FULL disclosure of any product and do not tolerate the use of any false or misleading statements, scare tactics or deceptive advertising. We recommend that you check with your insurance company, broker dealer and/or state insurance department to see if you need to modify any material you use prior to use with the general public. Privacy Policy