GoldenCare E&O Enrollment

Please see the Highlights tab above for detailed coverage information. For questions regarding the E&O Program, please Contact Us.

Please list your gross revenue for the past year and estimates for the current year and next year. Only include your revenue that is derived from your life agent business and series 6 activity, if applicable.
Note: Your past, current and next year's revenue must be less than $250,000 be eligible for this program.

Fields with * are required.

* Are you renewing your E&O policy?
* Prior Year Revenue
(Must be less than $250,000)
* Current Year Revenue Estimate
(Must be less than $250,000)
* Next Year Revenue Estimate
(Must be less than $250,000)
* Limit Option
Top Producer Code
Coverage Effective Date
(Must be between 04/01/2024 and 03/31/2025)
If you currently have E&O coverage in another program and you are joining this program as a new enrollee, you need to pick an effective date on or before your current coverage expiration date to avoid a gap in coverage.

Coverage Type


Type 1 Type 2
  • Life Insurance
  • Accident & Health Insurance
  • Long Term Care Insurance
  • Disability Insurance
  • Fixed Annuities
  • Employee Benefit Plans, Individual Retirement Arrangements, IRAs and KEOGH Retirement Plans
  • Financial Planning incidental to the sale of the above products
  • Life Insurance
  • Accident & Health Insurance
  • Long Term Care Insurance
  • Disability Insurance
  • Fixed Annuities
  • Employee Benefit Plans, Individual Retirement Arrangements, IRAs and KEOGH Retirement Plans
  • Variable Products
  • Mutual Funds
  • Financial Planning incidental to the sale of the above products