Policies

Your privacy is important to us. It is Advisors Insurance Brokers’ policy to respect your privacy regarding any information we may collect from you across our website, https://www.advisorsib.com, and other sites we own and operate.

We only ask for personal information when we truly need it to provide a service to you. We collect it by fair and lawful means, with your knowledge and consent. We also let you know why we’re collecting it and how it will be used.

We only retain collected information for as long as necessary to provide you with your requested service. What data we store, we’ll protect within commercially acceptable means to prevent loss and theft, as well as unauthorized access, disclosure, copying, use or modification.

We don’t share any personally identifying information publicly or with third-parties, except when required to by law.

Our website may link to external sites that are not operated by us. Please be aware that we have no control over the content and practices of these sites and cannot accept responsibility or liability for their respective privacy policies.

You are free to refuse our request for your personal information, with the understanding that we may be unable to provide you with some of your desired services.

Your continued use of our website will be regarded as acceptance of our practices around privacy and personal information. If you have any questions about how we handle user data and personal information, feel free to contact us.

In this Notice, Advisors Insurance Brokers (the “Company”) discloses information about its personal data processing practices. This Notice is effective October 19, 2020. The Company respects your privacy and is committed to protecting it through our compliance with these policies.

Each of the Company’s subsidiaries has posted a privacy notice that is specific to its personal data processing practices, which may differ from the Company’s data processing practices.

As described in more detail in this Notice, the main purpose of the Company’s collection and use of personal information is to communicate with licensed insurance agents and insurance marketing organizations and facilitate the sale of insurance products to individuals who express interest in such products.

Personal Information We Collect

The Company collects or obtains the following types of “personal information,” defined as information that identifies, relates to, describes, references, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer, household, or device:

Category Examples
Identifiers

 

Customers’, Consumers’ and Agents’ name.

Customers’, Consumers’ and Agents’ postal and email address.

Agents’ license number, and National Producer Number.

Customers’, Agents’, and Employees’ name, address, email address, and Social Security number.

Personal information categories listed in the California Customer Records statute Customers’ insurance policy number.

Agents’ financial information (paid commissions).

Characteristics of protected classifications under California or federal law Customers’, Consumers’ and Agents’ age.

Employees’ age, race, marital status, and sex or gender.

Commercial information Customers’ products or services purchased.
Internet or other similar network activity Information on a user’s interaction with our websites, applications, or advertisements.
Geolocation data Location of website users.
Professional or employment-related information Employees’ and contractors’ job history submitted to us.
Education information Employees’ and contractors’ education information submitted to us.

The Company does not collect biometric information or sensory data.

Sources of Personal Information

The Company collects the categories of personal information above from the following categories of sources:

  • Directly from users when they provide information electronically, by phone, or by mail;
  • Our affiliates and business partners;
  • Our agents;
  • Lead vendors to whom you have provided your information;
  • Client referrals;
  • Data verification services;
  • Users’ browsers;
  • Marketing vendors and advertising networks; and
  • Social media, if you provide us information on social media platforms.

The Company obtains information pertaining to insurance agents primarily from the agents themselves when they choose to affiliate with the Company. The Company obtains information pertaining to consumers seeking to purchase insurance products from referrals and written and electronic consumer inquiries regarding insurance products (including through companies that assist in the delivery of such inquiries). The Company also obtains such information from its subsidiaries.

Use of Personal Information

The Company may use or disclose the personal information that it collects for one or more of the following purposes:

  • Provide you products and services;
  • Address your inquiries;
  • Process transactions;
  • Tailor the content and information that we may send or display to you;
  • Where permitted, for marketing and promotional purposes, such as to provide information to you about the products and services we offer;
  • Analyze use of our products and services, where permitted by law;
  • Develop new products and services;
  • Provide and personalize our services;
  • Comply with legal obligations;
  • Protect our rights, property, and safety or the rights, property, and safety of others;
  • As described to you when collecting your personal information or as otherwise set forth in applicable law;
  • Evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which personal information held by us about our customers is among the assets transferred.

 

The Company uses information pertaining to insurance agents to communicate with and compensate insurance agents. The Company uses information pertaining to consumers seeking to purchase insurance products to contact such consumers and provide policy services.

From time to time, the Company may contact you via email, mail, and/or telemarketing calls, for the purpose of providing announcements, promotional offers, alerts, confirmations, surveys, and/or other general communication. If you would like to stop receiving marketing or promotional communications via email, mail, and/or telemarketing calls from the Company, you may opt out of such communications by contacting us at the toll-free number or email address listed below.

Sharing Personal Information

The Company may disclose your personal information to a third party for a business purpose.  The Company may share the personal information of consumers with licensed insurance agents, insurance carriers, service providers, all primarily for the purpose of facilitating the sale of insurance products to individuals who are interested in purchasing insurance products.

In the preceding 12 months, the Company may have disclosed the following categories of personal information for a business purpose: identifiers, California Customer Records personal information categories, protected classification characteristics under California or federal law, commercial information, and internet or other similar network activity.

Cookie Policy

Our website may use “cookies” to enhance user experience. User’s web browser places cookies on their hard drive for record-keeping purposes and sometimes to track information about them. Cookies can also enable us to track and target the interests of our users to enhance their experience on our website. We may use the following types of cookies: advertising and analytics and social media. Usage of a cookie is not linked to any personally identifiable information on our website.

User may choose to set their web browser to refuse cookies or to alert you when cookies are being sent. If they do so, note that some parts of the website may not function properly.

Children Under The Age of 16

Our website is not intended for children under 16 years of age. No one under age 16 may provide any information on the website. We do not knowingly collect personal information from children under 16. If you are under 16, do not use or provide any information on this website. If we learn we have collected or received personal information from a child under 16 without verification of parental consent, we will delete that information. If you believe we might have any information from or about a child under 16, please contact us.

Rights for California Residents

Additional privacy rights for California residents are provided below.

Contact Information

If you have any questions or comments about this notice, or the ways in which the Company collects and use your personal information, please do not hesitate to contact us at:

Phone: 1-800-695-8224 ext 117

Email: compliance@advisorsib.com

TERMS OF SERVICE

  1. Terms

By accessing the website at https://www.advisorsib.com, you are agreeing to be bound by these terms of service, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this website are protected by applicable copyright and trademark law.

  1. Use License
  • Permission is granted to temporarily download one copy of the materials (information or software) on Advisors Insurance Brokers’ website for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not:
  1. modify or copy the materials;
  2. use the materials for any commercial purpose, or for any public display (commercial or non-commercial);
  3. attempt to decompile or reverse engineer any software contained on Advisors Insurance Brokers’ website;
  4. remove any copyright or other proprietary notations from the materials; or
  5. transfer the materials to another person or “mirror” the materials on any other server.
  • This license shall automatically terminate if you violate any of these restrictions and may be terminated by Advisors Insurance Brokers at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format.
  • Disclaimer
  1. The materials on Advisors Insurance Brokers’ website are provided on an ‘as is’ basis. Advisors Insurance Brokers makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights.
  2. Further, Advisors Insurance Brokers does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its website or otherwise relating to such materials or on any sites linked to this site.
  • Limitations

In no event shall Advisors Insurance Brokers or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption) arising out of the use or inability to use the materials on Advisors Insurance Brokers’ website, even if Advisors Insurance Brokers or a Advisors Insurance Brokers authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you.

  • Accuracy of materials

The materials appearing on Advisors Insurance Brokers’ website could include technical, typographical, or photographic errors. Advisors Insurance Brokers does not warrant that any of the materials on its website are accurate, complete or current. Advisors Insurance Brokers may make changes to the materials contained on its website at any time without notice. However, Advisors Insurance Brokers does not make any commitment to update the materials.

  • Links

Advisors Insurance Brokers has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by Advisors Insurance Brokers of the site. Use of any such linked website is at the user’s own risk.

  • Modifications

Advisors Insurance Brokers may revise these terms of service for its website at any time without notice. By using this website, you are agreeing to be bound by the then current version of these terms of service.

  • Governing Law

These terms and conditions are governed by and construed in accordance with the laws of New York and you irrevocably submit to the exclusive jurisdiction of the courts in that State or location.

Please read these Terms of Service (“Terms”) carefully before using the Advisors Insurance Brokers (the “Company”) Resources (as defined below), applying to become an insurance agent for the Company, or otherwise seeking affiliation with the Company.

PLEASE CAREFULLY READ AND UNDERSTAND THESE TERMS. THEY CONTAIN AN ARBITRATION AGREEMENT, JURY AND CLASS ACTION WAIVERS, LIMITATIONS OF LIABILITY AND OTHER PROVISIONS THAT AFFECT YOUR LEGAL RIGHTS.

I. Use of Resources

Your use of the Company’s website, customer relationship management software, agent portal, leads, or your receipt of any commissions or other compensation from any insurance carrier affiliated with the Company (collectively, “Resources”) is conditioned on your acknowledgement, agreement, and compliance with these Terms.  These Terms apply to all insurance agents that sell or market any products through their affiliation with the Company or in connection with use of any of the Resources.

By using the Company’s Resources, you agree to be bound by these Terms. If you disagree with any part of the Terms, you must immediately notify the Company and discontinue your relationship with the Company.

All Resources are provided “as is.”  The Company makes no warranties, express, implied or otherwise, regarding the accuracy, completeness or performance of any Resource.

II. Outbound Communications and Compliance with Law

In connection with your activities pertaining to the marketing and sale of insurance products that involve the Company in any way (including any use of the Company trademarks or any Resource), you agree that you will not:

  • sell any leads purchased from the Company or with the Company’s assistance unless expressly authorized by the Company to engage in the sale of leads;
  • use (or engage others to use on your behalf), any automatic telephone dialing system, autodialer, spam text, prerecorded message, artificial voice calls, or telemarketing service;
  • purchase or use leads that have been generated using any automatic telephone dialing system, autodialer, spam text, prerecorded message, artificial voice calls, or telemarketing service;
  • contact any lead without evidence of proper consent or, if no consent exists, without screening against the federal Do-Not-Call (“DNC”) Registry and any applicable state DNC list;
  • contact any lead that requested to opt out of communications;
  • if involved in the sale or marketing of a Medicare Advantage, Medicare Part D or MAPDP product:
    1. use telephonic solicitation, including text messages, door-to-door solicitation, email solicitation without an opt-out function or approach potential enrollees in common areas;
    2. call a prospective enrollee who has not given permission to the entity with which you are affiliated to be contacted by a plan or sales agent;
    3. use communications and marketing materials that are inaccurate, misleading, have not been approved by CMS or the applicable carrier if approval is required, or otherwise do not comply with the Medicare marketing guidelines;
    4. fail to obtain an appropriate Scope of Appointment prior to a one-on-one telephonic or in-person marketing appointment; or
    5. enroll a prospective enrollee into a Medicare Advantage plan on an outbound call; or
  • contact leads or use the Resources in any way that violates any federal or state law including, without limitation, marketing laws, the Telephone Consumer Protection Act of 1991 (“TCPA”), the Telemarketing Sales Rule (“TSR”), CAN-SPAM Act, the Health Insurance Portability and Accountability Act (“HIPAA”), the California Consumer Privacy Act (“CCPA”), or to the extent applicable, Medicare laws, regulations and guidance.

III. Communication with Agent

As an agent, you authorize the Company to contact you in connection with the sale of insurance products.  The Company may contact you by phone, email, text, voicemail, or other methods.  You may opt out of communications by communicating to the Company your preference to opt out.

IV. Independent Contractors

Except for employee agents, the Company’s agents are independent contractors of the Company and are not employees of the Company.  Non-employee agents have the right to determine the method, manner, and means by which they perform their services.  Nothing herein shall be construed to create a partnership, joint venture, or an agency relationship between non-employee contractors and the Company.

V. Trademarks

The Company’s name and logo, and all related names, logos, product and service names, designs and slogans are trademarks of the Company or its affiliates or licensors. You may not use such marks without the prior written permission of the Company. All other names, logos, product and service names, designs and slogans on the Company’s website are the trademarks of their respective owners.

VI. Indemnification

You agree to defend, indemnify, and hold harmless the Company, its affiliates, licensors and service providers, and its and their respective officers, directors, employees, contractors, agents, licensors, suppliers, successors and assigns from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses or fees (including reasonable attorneys’ fees) arising out of or relating to your violation of these Terms or your use of the Resources, including your violation of law.

VII. Limitation on Liability

TO THE EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT WILL THE COMPANY (OR ITS EMPLOYEES, OFFICERS, DIRECTORS OR AGENTS) BE LIABLE TO YOU FOR ANY CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL OR PUNITIVE DAMAGES ARISING OUT OF OR IN CONNECTION WITH THESE TERMS OR FROM THE USE OF OR INABILITY TO USE THE RESOURCES, REGARDLESS OF LEGAL THEORY, AND EVEN IF THE COMPANY HAS BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGES. TO THE EXTENT PERMITTED BY APPLICABLE LAW, NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN, THE COMPANY’S LIABILITY TO YOU ARISING FROM THESE TERMS, OR THE USE OF OR INABILITY TO USE THE RESOURCES, SHALL AT ALL TIMES BE LIMITED TO THE GREATER OF $1,000 OR THE AMOUNTS PAID BY YOU TO THE COMPANY FOR ACCESS TO AND USE OF THE RESOURCES.

VIII. Agreement to Arbitrate

Any dispute, claim or controversy arising out of or relating to these Terms or the breach, termination, enforcement, interpretation or validity thereof or the use of the Resources shall be settled by binding arbitration. You and the Company are each waiving the right to a trial by jury or to participate as a plaintiff or class member in any purported class action or representative proceeding. The agreement to arbitrate shall survive any termination of these Terms.  The arbitration will be administered by the American Arbitration Association (“AAA”) in accordance with the Commercial Arbitration Rules and the Supplementary Procedures for Consumer Related Disputes (the “AAA Rules”) then in effect, in Dallas, Texas.  The arbitrator will be selected by the parties from the AAA’s roster of arbitrators. If the parties are unable to agree upon an arbitrator within seven (7) days of delivery of the Demand for Arbitration, then the AAA will appoint the arbitrator in accordance with the AAA Rules.  Judgment on the arbitration award may be entered in any court having jurisdiction thereof. The arbitrator’s award of damages must be consistent with the terms of the “Limitation of Liability” section above as to the types and amounts of damages for which a party may be held liable.

IX. Waiver and Severability

The failure of the Company to enforce any right or provision of these Terms will not constitute a waiver of future enforcement of that right or provision. The waiver of any such right or provision will be effective only if in writing and signed by a duly authorized representative of the Company. If for any reason a court of competent jurisdiction or an arbitrator finds any provision of these Terms invalid or unenforceable, that provision will be enforced to the maximum extent permissible, and the other provisions of these Terms will remain in full force and effect.

RIGHTS FOR CALIFORNIA RESIDENTS

Rights Under the California Consumer Privacy Act.

The California Consumer Privacy Act (“CCPA”) provides California residents with specific rights regarding their personal information. This document describes your CCPA rights and explains how to exercise those rights.

Last reviewed on: October 19, 2020

Access to Specific Information and Data Portability Rights

You have the right to request that the Company disclose certain information to you about our collection and use of your “personal information” over the past 12 months, defined as information that identifies, relates to, describes, references, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer, household, or device.

Personal information does not include the following:

  • Publicly available information that is lawfully made available to the general public from federal, state, or local government records;
  • Deidentified or aggregated consumer information;
  • Information excluded from the CCPA’s scope, including but not limited to:
    • Health or medical information covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Confidentiality of Medical Information Act (CMIA) or clinical trial data;
    • Personal information covered by certain sector-specific privacy laws, including the Fair Credit Reporting Act (FCRA), the Gramm-Leach-Bliley Act (GLBA) or California Financial Information Privacy Act (FIPA), and the Driver’s Privacy Protection Act of 1994.

Once we receive and confirm your verifiable consumer request (see Exercising Your Rights below), we will disclose to you, if applicable:

  • The categories of personal information we collected about you:
    • Identifiers (g., real name, alias, postal address, unique personal identifier, online identifier, internet protocol address, email address, account name, social security number, driver’s license number);
    • Other personal information categories listed in the California Customer Records Statute (g., physical characteristics or description, telephone number, state identification card number, insurance policy number, bank account number, credit card number, debit card number, or any other financial information, or medical information);
    • Characteristics of protected classifications under California or federal law;
    • Commercial information;
    • Internet or other similar network activity;
    • Professional or employment-related information (for employees or contractors);
    • Education information (for employees or contractors).
  • The categories of sources for the personal information we collected about you:
    • Directly from you when you provide information electronically, by phone, or by mail;
    • Our affiliates and business partners;
    • Our agents;
    • Lead vendors to whom you have provided your information;
    • Client referrals;
    • Users’ browsers;
    • Marketing vendors and advertising networks; and
    • Social media, if you provide us information on social media platforms.
  • Our business or commercial purpose for collecting, using, or selling that personal information; for example:
    • Provide you products and services;
    • Address your inquiries;
    • Process transactions;
    • Pay agent commissions;
    • Tailor the content and information that we may send or display to you;
    • Where permitted, for marketing and promotional purposes, such as to provide information to you about the products and services we offer;
    • Analyze use of our products and services, where permitted by law;
    • Develop new products and services;
    • Provide and personalize our services;
    • Comply with legal obligations;
    • Protect our rights, property, and safety or the rights, property, and safety of others;
    • As described to you when collecting your personal information or as otherwise set forth in applicable law;
    • Evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which personal information held by us about our customers is among the assets transferred.
  • The categories of third parties with whom we share that personal information:
    • Our affiliates and business partners;
    • Our agents;
    • Lead buyers;
    • Service providers;
    • Insurance carriers:
    • Marketing vendors and advertising networks; and
  • The specific pieces of personal information we collected about you (also called a data portability request);
  • If we sold or disclosed your personal information for a business purpose, two separate lists disclosing:
    • Sales, identifying the personal information categories and specific information that each category of third-party recipient purchased; and
    • Disclosures for a business purpose, identifying the personal information categories and specific information that each category of third-party recipient obtained.

Deletion Request Rights

You have the right to request that the Company delete any of your personal information that we collected from you and retained, subject to certain exceptions. For example, the Company is not required to delete your personal information if it is necessary for the Company to maintain your personal information in order to:

  • Complete the transaction for which the personal information was collected, provide a good or service requested by you, or reasonably anticipated within the context of the Company’s ongoing business relationship with you, complete the payment of agent commissions, or otherwise perform a contract between the Company and you;
  • Detect security incidents, protect against malicious, deceptive, fraudulent, or illegal activity; or prosecute those responsible for that activity;
  • Debug to identify and repair errors that impair existing intended functionality;
  • To enable solely internal uses that are reasonably aligned with your expectations based on your relationship with the Company;
  • Comply with a legal obligation;
  • Otherwise use your personal information, internally, in a lawful manner that is compatible with the context in which you provided the information.

Once we receive and confirm your verifiable consumer request (see Exercising Your Rights below), we will delete (and direct our service providers to delete) your personal information from our records, unless an exception applies under the CCPA.

Right to Opt-Out of Sales

As noted above, we may “sell” your personal information, as that term is broadly defined under the CCPA. You have the right to request that we not sell your personal information to third parties (“opt-out”) by contacting us at the toll-free number or website listed below.

Rights of Children Under the Age of 16

We do not sell the personal information of consumers we actually know are less than 16 years of age. If you are 16 years of age or older, you have the right to direct us to not sell your personal information at any time. You may exercise this right by contacting us as described below.

Exercising Your Rights

Only you, or a person registered with the California Secretary of State that you authorize to act on your behalf, may make a verifiable consumer request related to your personal information. You may also make a verifiable consumer request on behalf of your minor child.

You may only make a verifiable consumer request for access or data portability twice within a 12-month period. The verifiable consumer request must:

  • Provide sufficient information that allows us to reasonably verify you are the person about whom we collected personal information or an authorized representative; and
  • Describe your request with sufficient detail that allows us to properly understand, evaluate, and respond to it.

We cannot respond to your request or provide you with personal information if we cannot verify your identity or authority to make the request and confirm the personal information relates to you. Making a verifiable consumer request does not require you to create an account with us. We will only use personal information provided in a verifiable consumer request to verify the requestor’s identity or authority to make the request.

To exercise the access, opt-out, and/or deletion rights described herein, you may call the toll free number below or visit our website:

  • Toll Free Number: Please submit a verifiable consumer request to us by calling us at 1-888-914-9661 and use PIN 378314; please leave a detailed message including:
    • your name
    • your address
    • our company name: Advisors Insurance Brokers
  • Website: To exercise any of these rights, you may submit a request to us by visiting the following webpage Advisors Insurance Brokers Privacy Portal
https://privacyportal.onetrust.com/webform/ee1cd67a-fc19-4a8a-a048-465b10a9fefd/b50d56c4-e193-4a1d-a2eb-a2a3f8b2db1d

Response Timing and Format

We endeavor to respond to a verifiable consumer request within 45 days of its receipt. If we require more time, we will inform you of the reason and extension period in writing. We will deliver our written response by mail or electronically, at your option.

Any disclosures we provide will only cover the 12-month period preceding the verifiable consumer request’s receipt. The response we provide will also explain the reasons we cannot comply with a request, if applicable.

We do not charge a fee to process or respond to your verifiable consumer request unless it is excessive, repetitive, or manifestly unfounded. If we determine that the request warrants a fee, we will tell you why we made that decision and provide you with a cost estimate before completing your request.

Non-Discrimination Under CCPA

We will not discriminate against you for exercising any of your CCPA rights. If you make a CCPA request, we will not, as a direct result:

  • Deny you goods or services;
  • Charge you different prices or rates for goods or services, including through granting discounts or other benefits, or imposing penalties;
  • Provide you a different level or quality of goods or services; or
  • Suggest that you may receive a different price or rate for goods or services or a different level or quality of goods or services.

Other California Privacy Rights

California’s “Shine the Light” law (Civil Code Section § 1798.83) permits users of our website that are California residents to request certain information regarding our disclosure of personal information to third parties for their direct marketing purposes.

To make such a request, please contact us using the contact methods below.

Contact Information

If you have any questions or comments about your rights under California law, or want to exercise any of these rights, please do not hesitate to contact us at:

Phone:             1-888-914-9661 and use PIN 378314

Website:          Advisorsib.com   Privacy Portal

https://privacyportal.onetrust.com/webform/ee1cd67a-fc19-4a8a-a048-465b10a9fefd/b50d56c4-e193-4a1d-a2eb-a2a3f8b2db1d

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<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_4' > <div class='gform_heading'> <p class='gform_required_legend'>&quot;<span class="gfield_required gfield_required_asterisk">*</span>&quot; indicates required fields</p> </div><form method='post' enctype='multipart/form-data' id='gform_4' action='/policies' ><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfL19oUAAAAAJNCW-WxBuGrKKx7Rdz_xwl37IqY' data-tabindex='0'><input id="input_57d0676bd1813fc0035748bcba1617d1" class="gfield_recaptcha_response" type="hidden" name="input_57d0676bd1813fc0035748bcba1617d1" value=""/></div> <div class='gform_body gform-body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><div id="field_4_7" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_4_7"><label class='gfield_label' for='input_4_7' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='large' placeholder='First Name *' aria-required="true" aria-invalid="false" /> </div></div><div id="field_4_8" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_4_8"><label class='gfield_label' for='input_4_8' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_4_8' type='text' value='' class='large' placeholder='Last Name *' aria-required="true" aria-invalid="false" /> </div></div><div id="field_4_2" class="gfield gfield--width-seven-twelfths gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_4_2"><label class='gfield_label' for='input_4_2' >Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_4_2' type='text' value='' class='large' placeholder='Email *' aria-required="true" aria-invalid="false" /> </div></div><div id="field_4_5" class="gfield gfield--width-five-twelfths field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_4_5"><label class='gfield_label' for='input_4_5' >Phone</label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_4_5' type='text' value='' class='large' placeholder='Phone Number' aria-invalid="false" /></div></div><div id="field_4_6" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_4_6"><label class='gfield_label' for='input_4_6' >Are you a/an: *<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_4_6' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Are you a/an:</option><option value='Career Agent' >Career Agent</option><option value='General Agent' >General Agent</option><option value='Broker' >Broker</option><option value='Sales Manager' >Sales Manager</option><option value='Other' >Other</option></select></div></div></div></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button gform-button--width-full' value='Subscribe' onclick='if(window["gf_submitting_4"]){return false;} window["gf_submitting_4"]=true; 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[gravityform id="23" ajax="true" title="false" description="false"]
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