Distributors Application Form








    Which of the following best describes you? *

    Product Development / ManagementActuarial / PricingUnderwriting StrategyRisk ManagementReinsurance StructuringInvestment StrategyExecutive / StaffOther (Please Specify):

    Which types of products are you involved with? (Select all that apply)

    Whole LifeTerm LifeUniversal LifeFixed AnnuitiesFixed Indexed AnnuitiesFinal ExpenseOther (Please Specify):

    What topics are most relevant to you? (Select all that apply)

    New Products / InnovationUnderwriting ModernizationPricing & ProfitabilityReinsurance StrategyAI / AutomationRegulatory TrendsDistribution AlignmentOther (Please Specify):

    Which program would you like to apply to? *

    Individual (1 Roundtable)Team (1 Roundtable per Team Member)

    I understand that participation may require attendance at sponsored sessions *