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Appointment Forms

    Become appointed with Newman Long Term Care and you'll be allied with a leader in the LTC Insurance industry. Click on the link below to start the secure online appointment process through SuranceBay and kick your LTCI sales into overdrive!

    It is required that producers must Read and Agree to the Business Associates Agreement (BAA) prior to completing the Appointment Form.
    (Read Here)

    When completed, check the box to continue.
    Yes, I have read and agree to the Business Associate Agreement.

    If you already have a SuranceBay login through a different organization, you will need to set up a new account through NewmanLTC as each agency has a separate data base.

    Certain carriers and states require your appointment confirmation prior to writing your first client application. Please contact the Newman Long Term Care Licensing Department at 612-454-4400 or 1-800-625-9267 for carrier and state specifics.

    Need to find out state LTC and Annuity CE Training Requirements? Click Below.

    Access the Compliance Certification Clearinghouse (ClearCert) web site

    We have created a new training video that provides an overview of SureLC for producers. This video explains how a producer can complete their profile and submit a new contract request. Click Below.

    New SureLC Producer Training Video

    Our recommended online CE provider:
    Click on logo


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6636 Cedar Ave. S., Suite 100
Richfield, MN 55423

Telephone: 612-454-4400 · Toll Free: 800-625-9267
Fax: 952-888-5170 · E-mail:

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