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Commission Inquiry

Name of Agent(s) Inquiring

What is the reason for the inquiry?

Commission Missing / Late (If it has been less than 7 business days since issue, please wait until next pay cycle.)

Commission Incorrect

Other (Explain in notes below.)

Company

Client Name

Policy Number

Issue Date of Policy required

Additional Notes

If Medicare Advantage, UHC Supp or Humana Supp all of the following is REQUIRED.

Agent Writing #

Medicare Claim Number

Client DOB

Client's Full Address

Plan Effective Date

If Life Insurance, please note that most companies do not pay commissions until the first client premium is drafted.

Date of First Premium Payment

Common requests. Read before submitting.

1) If the policy is on yourself or a family member, it will be paid as-earned.

2) ASB will process once pending commissions reach $100. If the amount owed is less than $100, it will sit in pending until more business comes in.

3) Some carriers, such as Aetna and American General, charge minimal interest for advancing. These are not chargebacks or errors. These usually show at the bottom of your statement and are small amounts like -$1.14.

4) Turning 65 Medicare don't always pay in one lump-sum commission. They will often pay as a replacement commission first. Once CMS pays the first-time enrollment bonus to the carrier, the carrier will then 'true-up' the remainder of the commission. This can take 2 to 3 weeks after the initial commission is received.

Thanks for submitting!