If you would prefer to fill out a paper application and submit it by mail, please print the PDF provided below. You may need Adobe® Acrobat® Reader® to view the file.
Please use the information below to complete the advisor fields. That way we’ll know who sent you to us.
ADVISOR CODE: 00411
OFFICE CODE: HA376
MGA CODE: 7767
ADVISOR NAME: The Benefits Planning Group Inc. (BPG)
OFFICE NAME: The Benefits Planning Group Inc. (BPG)
MGA NAME: People Corporation