2012 American Long-Term Care Insurance Sales Achievement Awards

2012 Long-Term Care Insurance Sales Achievement Awards

Be recognized as among the best in the business

Your opportunity to shine... to tell others that you are a leading producer nationally... or in your state.

IMPORTANT: Please read the instructions and rules prior to entering the Awards.

Deadline for entries:
February 29, 2012

Late entries require payment
of a fee.

2012 Online Awards Entry (Free Entry Deadline is Feb. 29th)


Enter Your Name Using Upper & Lower Case Letters ONLY
NO ALL CAPS PLEASE! Watch your spelling and STATE as errors are not corrected!

Please select "YES" if you are a member of AALTCI or select "NO" if you are not currently a member.

YES
NO

Where you physically work or reside.

The confirmation of your entry will be sent to this email address.

Select the first year you sold a Long-Term Care Insurance Policy.

Please check the box to confirm the information supplied is accurate and pertains to business placed during the calendar-year 2011.

YES

Individual Long-Term Care Insurance - Placed 2011

Do Not Include MultiLife Cases Here

Do not include any policies for which the carrier provided a special discount. Report these under the MultiLife category below.

1: Total Placed Premium (Individual LTCi Policies 2011)

Value of placed premium for new individual LTC policies written during 2011 for which you are the agent-of-record receiving compensation. Do NOT Include MultiLife Cases Here.

Do Not Include MultiLife Cases Here

Do not include any policies for which the carrier provided a special discount. Report these under the MultiLife category below.

Shared Business: Calculate and report the applicable premium based on your percentage. (Example: $5,000 premium; case split 50/50. Your credit equals $2,500).

None
$2,500 - $5,000
$5,001 - $10,000
$10,001 - $20,000
$20,001 - $30,000
$30,001 - $40,000
$40,001 - $50,000
$50,001 - $60,000
$60,001 - $70,000
$70,001 - $80,000
$80,001 - $90,000
$90,001 - $100,000
Over $100,000


$

Do Not Include MultiLife Cases Here

Do not include any policies for which the carrier provided a special discount. Report these under the MultiLife category below.

2: Total Individual LTCi Policies Written (2011)

Total number of individual long-term care insurance policies written during 2011 including those not placed for which you were named on the application. Do NOT Include MultiLife Cases Here.

Do Not Include MultiLife Cases Here

Do not include any policies for which the carrier provided a special discount. Report these under the MultiLife category below.

1 to 5
6 to 10
11 to 24
25 to 49
50 to 75
76 to 99
100 or more


Multi-Life Long-Term Care Insurance - 2011 Production

MultiLife Policies Only

Any policies for which the carrier provided a special discount.

1: Total Placed Premium (Multi-Life LTCi Policies 2011)

Value of placed premium for new multilife LTC insurance policies written during 2011 for which you are the agent-of-record receiving compensation. MultiLife Policies Only.

MultiLife Policies Only

Any policies for which the carrier provided a special discount.

Shared Business: Calculate and report the applicable premium based on your percentage. (Example: $5,000 premium; case split 50/50. Your credit equals $2,500).

None
$2,500 - $20,000
$20,001 - $30,000
$30,001 - $40,000
$40,001 - $50,000
$50,001 - $60,000
$60,001 - $70,000
$70,001 - $80,000
$80,001 - $90,000
$90,001 - $99,999
$100,000 or over


$

MultiLife Policies Only

Any policies for which the carrier provided a special discount.

2: Total MultiLife LTCi Policies (def: individuals) Written (2011)

Total number of multi-life long-term care insurance policies written during 2011 including those not placed for which you were named on the application. MultiLife Policies Only.

MultiLife Policies Only

Any policies for which the carrier provided a special discount.

None
10 or less
11 to 24
25 to 49
50 to 75
76 to 99
100 or more


Asset-Based Long-Term Care

1: Linked Life Insurance + Long-Term Care (Life + LTC Policies)

Total Placed Premium For Life Insurance With A Separated LTC Benefit (2011). Value of placed premium for new business written for which you are the agent-of-record receiving compensation.

Shared Business: Calculate and report the applicable premium based on your percentage. (Example: $50,000 premium; case split 50/50. Your credit equals $25,000).

None
$25,000 - $49,999
$50,000 - $99,999
$100,000 - $149,999
$150,000 - $199,999
$200,000 - $249,999
$250,000 - $299,999
$300,000 or over


$

2: Linked Annuity + Long-Term Care (Annuity + LTC Policies)

Total Placed Premium For Annuity With A Separated LTC Benefit (2011). Value of placed premium for new business written for which you are the agent-of-record receiving compensation.

Shared Business: Calculate and report the applicable premium based on your percentage. (Example: $50,000 premium; case split 50/50. Your credit equals $25,000).

None
$25,000 - $49,999
$50,000 - $99,999
$100,000 - $149,999
$150,000 - $199,999
$200,000 - $249,999
$250,000 - $299,999
$300,000 - $399,999
$400,000 - $499,999
$500,000 or over


$

Submit My 2012 Awards Entry NOW

Click the "Submit" button to complete your entry. You will receive an E-mail confirming the data you entered.