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Ameritas Life Insurance Corp.

Please complete and return the following appointment application.

Return the completed form to Ameritas at group_licensing@ameritas.com or 402.467.7342 (fax).

An appointment is required for both you and your agency. (Only one set of paperwork is required.)

 

IMPORTANT: Please note on the front page of the application that your request for appointment is for CBIA business.

There are no fees for new or renewing appointments.

A lapsed appointment automatically terminates appointment with the state. Agents will be notified if this occurs.