2015 American Long-Term Care Insurance Sales Achievement Awards

2015 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:
April 20, 2015

Late entries require payment
of a fee.

2015 Online Awards Entry (Do NOT Enter Prior to January 20, 2015)

Use this form to enter the 2015 Long-Term Care Sales Achievement Awards.
ENTRIES SUBMITTED PRIOR TO JANUARY 20, 2015 WILL NOT BE CONSIDERED.. Please bookmark this page and come back after January 20th to enter.

1. Before entering - Read the Information on the Right.

2. Enter Your Name Using Upper & Lower Case Letters ONLY

3. NO ALL CAPS Please - NO DESIGNATIONS (CLTC, LTCP) Please

4. Watch your spelling and STATE as errors are not corrected.

5. Review the Confirmation Email sent to you.
Your entry data may be subject to confirmation with leading insurers. Misstatements could result in disqualification of your complete entry.

Enter PLACED premium (not projected placed or submitted) for Calendar Year 2014.
Some nominal rounding is acceptable.

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. Disregard the year shown on the Confirmation Email. Our report will reflect the correct (2015) date.

Please check the box to confirm the information supplied is accurate and pertains to business placed during the calendar-year 2014 and may be validated by the Association with leading insurers.

YES

Individual Long-Term Care Insurance - Placed 2014

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 2014)

READ THIS CATEGORY DEFINITION PLEASE
Indicate below the value of placed premium written in 2014 for which you are the agent of record.
If you split cases, ONLY enter your share of placed business.
DO NOT COUNT multi-life or applications for which the carrier provided a special discount.
Placed is NOT 'submitted' do your best to approximate your actual placed sales for the year.
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 (2014)

Total number of individual long-term care insurance policies written during 2014 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 - 2014 Production

MultiLife Policies Only

Any policies for which the carrier provided a special discount.

1: Total Placed Premium (Multi-Life LTCi Policies 2014)

Value of placed premium for new multilife LTC insurance policies written during 2014 for which you are the agent-of-record receiving compensation. Includes both True Group as well as any policies for which the carrier provided a special discount. MultiLife Policies Only.

MultiLife Policies Only

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 (2014)

Total number of multi-life long-term care insurance policies written during 2014 including those not placed for which you were named on the application. Includes True Group LTCi for which you were paid. 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 (2014). 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 (2014). 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 2015 Awards Entry NOW

An email will be sent confirming the information you entered. IF YOU SEE ERRORS, it is your responsibility to return and complete a new entry form. In the case of duplicate submissions, the LAST ENTRY submitted will be used.

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