eApplications

We offer agents two fast, and efficient ways to submit term cases.  Choose whichever is most convenient for you.

Mercury Brokerage Drop Ticket *

Fill out our paper Life Insurance Request Form and send it to us via email or fax. We send it directly to your carrier of choice. That’s it, no client signature required and no reduction in your comp.  The carrier will handle the case processing, scheduling and underwriting.

Carrier Electronic Drop Ticket Sites+

Agents may also submit an electronic drop ticket directly to the carrier. It is like the Drop Ticket form in electronic format, but when you click submit your case goes directly to the carrier. The carrier will notify Mercury Brokerage that you have submitted a case. Click a carrier logo to get started.

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Click here if you wish to submit an iGO® e-App

+ only available for American General, BannerLife, FidelityLife, and VOYA/ING

*Currently only available for these carriers:

Banner

Hancock

Lincoln

Metlife

Principal

Protective

Prudential

VOYA/ING

Transamerica