E&O Agreement Form

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E&O Agreement Form – Monthly Fee SignUp

Fill this form out to sign up for our month to month E&O Agreement for licensed agents.


Please submit the online form below. Once payment is received you will be covered and be charged $15 per month unless you cancel your policy or we are instructed to terminate it. No refunds will be given on E&O for any reason.

Once payment is received you will be specifically named as an additional insured under Gordon Marketing Insurance Errors and Omissions Insurance Sub-Broker coverage with Markel American Insurance Co.

The protection limits you share are:

  • $2,000,000.00 FOR EACH CLAIM
  • $2,000,000.00 in the Aggregate

Coverage Level A: Sale and Servicing of Life Insurance, Health Insurance, LTC, Disability, Medicare Supplement/Advantage Insurance, Final Expense, Mortgage Life, Fixed and
Indexed Annuities. Deductible $0 per Claim on Products of Gordon Marketing.
Coverage is not provided for the solicitation, sale or servicing of products outside Gordon Marketing.

  • E&O Agreement Form – Monthly Fee SignUp

    Fill this form out to sign up for our month to month E&O Agreement for licensed agents.

  • MM slash DD slash YYYY
  • $15.00/month E&O coverage agreement
  • American Express
    Discover
    MasterCard
    Visa
    Supported Credit Cards: American Express, Discover, MasterCard, Visa
     
  • $0.00
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