Jefferson National Life Insurance - Faxable Applications:

 Simple Term Fax Application for following 30 States (click on requested state):

  AL, AK, AZ, AR, CA, CO, CT, DE, DC, HI, ID, IL, IN, IA,

  KS, MA, MI, MS, NE, NV, NH, NM, NC, ND, PA, RI, SD, TN,

  TX, UT, VT, WV

  State Specific Simple Term Fax Applications (click on requested state):

  FL,  GA,  KY,  LA,  ME,  MN,  MO,  NJ,  OK,  SC,  VA,  WA,  WI,  WY

  Click Here to calculate rates:  http://www.JNLIC.com

  Instructions on Faxable Simple Applications:

	Download application for the state where insurance is being sold
	Complete application with client
	Fax to SASid at 608-755-7955
	Wait for your Weekly Commissions!

Jefferson National Life Insurance - Simple Term is available to residents of:

IMPORTANT:  Simple Term is not intended for direct marketers or anyone who intends to mass market (email marketing campaigns, direct mail, etc.).  If you are an organization that does direct marketing programs we have another product designed specifically for mass marketing situations (click here - Select Term)