CalSurance

CalSurance

E&O Enrollment Login

Please enter the following information to login to the Enrollment system

First Name:

Last Name:

Year of Birth: (in four digits)

Month of Birth: (in two digits)

Last four digits of your SSN:

2010-2011 Program Materials

2010-2011 Specimen Policy

I acknowledge that I have reviewed the program materials and specimen policy prior to enrolling in this program.

Eligibility

1.

Have you had any claims within the last 5 years?

No

Yes

2.

Do you have knowledge of any circumstance that could give rise to a claim?

No

Yes

3.

Have you ever been the subject of a reprimand, a regulatory or disciplinary action or criminal action by any federal, state or local authority or by self-governing, regulatory body as a result of your professional services?

No

Yes

4.

Have you ever had an insurance company terminate your agent or general agent contract for 'cause', as that term is defined by the insurance company or agent contract?

No

Yes

5.

Are your total annual commissions more than $1,000,000 dollars?

No

Yes

6.

Do your annual commissions from the sale/servicing of Life and A&H insurance products represent at least 80% of your total annual commissions? (For purposes of this question, Life & A&H insurance products also include Disability Income Insurance, Long Term Care Insurance, Fixed Annuities and Equity Indexed Annuities)

No

Yes

7.

Do your total annual commissions from the sale/servicing of fully insured Group A&H Insurance Products exceed 25% of your total annual commissions?(For purpose of this question, Group A&H Insurance Products do not include Supplemental Health Insurance or Individual A&H Insurance products)

No

Yes

8.

Do you operate as a marketing organization or wholesaler?

No

Yes