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WARNING – NY BUSINESS ONLY

REG 187 INDUSTRY AND CARRIER PRODUCT TRAINING MUST BE COMPLETED PRIOR TO NY APP SOLICITATION. CARRIERS WILL RETURN APPLICATIONS NOT IN GOOD ORDER AND NEWLY SIGNED FORMS WILL BE REQUIRED AFTER TRAINING IS DONE.

FOR MORE INFORMATION OR TO COMPLETE PRODUCT TRAINING – PLEASE CLICK HERE FOR MORE DETAILS.

PLEASE BE SURE YOU ALSO COMPLETE THE CARRIER SPECIFIC REG 187 FORM – IF YOU DONT SEE THE FORM WHEN ACCESSING & CHOOSING YOUR APPLICATION FORMS, PLEASE CONTACT OUR OFFICE FOR ASSISTANCE AND THE FORMS WILL BE SENT TO YOU IMMEDIATELY!   (NY applications only)

Carrier Applications

Application forms, questionnaires and policy service forms found here!

New York Disclosure Forms

(Required for all NY application submissions only)

Electronic Submission Options

Drop Ticket

and

Full E-APP submission portal

Informal Inquiry

Available on e-Signature

HIPAA Authorization

Available on e-Signature

e-Signature

e-Signature Instruction Guide

e-Signature available with: Informal Inquiry, HIPAA, REG194

John Hancock, Principal and Protective

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Innovative Underwriters, Inc. works with a variety of insurance carriers. Any product guarantees expressed in a carrier’s policy/contract are backed by the claims paying ability of the issuing carrier and/or its named subsidiary. Innovative Underwriters, Inc. is a wholly-owned subsidiary of The Guardian Life Insurance Company of America, New York, NY. Innovative Underwriters, Inc is insurance licensed in AL, AZ, AR, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY . This Internet site may provide links to other sites for your convenience in locating related information and services. Innovative Underwriters, The Guardian Life Insurance Company of America (Guardian) do not maintain these other sites and have no control over the organizations that maintain the sites or the information, products or services these organizations provide. Innovative Underwriters and Guardian cannot make any representation or warranty as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party, whether linked to this Internet site or incorporated herein, and take no responsibility therefore. Innovative Underwriters and Guardian do not recommend or endorse these organizations or their products or services in any way. Neither Guardian, nor its subsidiaries, agents or employees give tax or legal advice. You or your client should consult with your tax or legal advisor regarding your individual situation. Neither Guardian nor its subsidiaries issue Long Term Care Insurance. This Website Is Intended For Agent/Broker Use Only And Not For Use With The General Public.

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Disclaimer

GUARDIAN® is a registered trademark of The Guardian Life Insurance Company of America®
Carriers listed are independent of and unaffiliated with Guardian. 2023-150881 Exp. 2/25

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