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Date Ordered: Date Required:

Central Reserve Life

Simplicity Plus Plan Brochure	Individual Application Packet
MSAdvantage Plan Brochure	Individual MSA Appication Packet
Short-term Medical Brochure/App	Individual Dental Brochure/App
Group Dental Brochure	Ceres Savers Plan Brochure/App
Employers Choice Brochure - TN only	Group Application
Partnership Group Brochure - TN only	Partnership Group Application

Zurich Life

TeleLife Application	Long Form Application
Certain-T Brochure	Super-T Brochure
Secure-T Brochure	Rate Class Profile Sheet
Lifetime UL Brochure	Zurich CVT Brochure
PAC Form	Quick Check Form
Change/Reinstatement Form	Agent Rate Disk
Replacement Form - Other Company	Replacement Form - Zurich

Continental General

Medicare Supp. Coverage Outline	Medicare Supp. App Packet
Senior Life Brochure/App	Long Term Care Brochure/App
Annuity Brochure	Annuity Application

Cotton States

Simplified/Guarantee Issue Brochure	Life Application
Accelerated Death Benefit Rider	Replacement Form

Brokers National

Edge Plus Plan A Brochure	Edge Plus Plan B Brochure
Basic Plus Brochure	Unique Edge Brochure
Insured Vision Plan Brochure/App	Voluntary Vision Brochure/App
Dental Enrollment Cards	Employer Enrollment App
Cancer Care Brochure/App	Individual Dental Brochure/App

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