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 04/01/2025 and 03/31/2026)
|
|
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