Feedback Form for It Company - Excel - Excel by ukf15035

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									DOWNLOAD REQUEST FEEDBACK FORM
Please fill in your contact informaton and place an "X"beside any other carriers from whom you w
if they become available. Email the completed form to DXOSupport@ez-data.com.



Agency Name:
Agency Contact:
Phone:
Email:
     Additional Insurance Carriers             X
Aetna Life Insurance Company
Allianz Life Insurance Company of North
America
Allstate Life Insurance Company of New
York
Allstate of NY
American Equity Investment Life
Insurance Company
American Investors
American National
AmerUs Life
Assurity Life Insurance Company
Aviva
AXA/US FINANCIAL
Bankers Life of New York
Berkshire Life Of America
BMA/RBC
Chesapeake Life
Colonial Penn
Columbus Life Insurance Company
Fidelity & Guaranty Life Ins. Co. of New
York
Fidelity of NY
Fort Dearborn Life Insurance Company

Golden Rule
GUARANTEE TRUST
Guardian Insurance & Annuity
Guardian/Consolidated Planning
Hartford Life &Annuity Ins
Illinois Mutual
Indianapolis Life Insurance
Integrity Life
ITT Hartford
Jackson National Life
Jackson National Life of New York
Kanawha
Keyport
LAFAYETTE LIFE
Liberty Life Insurance Company
Life Investors Insurance Company of
America
Lincoln Benefit Life
Livingston And Associates
Manufacturers Life Insurance Company
of New York
Maple Life Financial Inc.
MASS MUTUAL (NY)
Mass Mutual Life and Annuity
MedAmerica
MIDLAND NATIONAL
Minnesota Life
Mutual of Omaha
National Integrity
New York Life
Ohio National
Old Mutual Financial Network
Old Republic
Pan American
Penn Mutual Life
Penn Treaty
Peoples Benefit Life Insurance
Company
PHL Variable Insurance Co
Phoenix Life
Physicians Mutual / Physicians Life
Presidential
Principal
PRINCIPAL (NY)
Provident Life & Accident
RBC/LIBERTY
Reliance Standard Life
Savings Bank Life Insurance Co of
Mass
Security Mutual Life Insurance
Company of New York
Standard Insurance Company
STATE LIFE
Sun Life & Annuity
Sun Life Assurance (Canada)
Sun Life Assurance (US)
Symetra Life Insurance Company
The Cincinnati Life Insurance Company

The Old Line Life Insurance Company of
America
Transamerica Financial Life Insurance
Company
Transamerica of Ny
Union Central
United Home Life
United Teachers
UnumProvident
Utica National Life
Western Reserve Life
Others not listed:
ST FEEDBACK FORM
ace an "X"beside any other carriers from whom you would like to receive downloads
ed form to DXOSupport@ez-data.com.




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