Contracting   |  GBL

GBL Affiliate Contracting

Below are the forms needed to be completely filled out and submitted to GBL before your appointment can be processed and commissions paid. 

Forms to fill out (please mail or fax these back):
GBL Affiliate Contract

Copies to mail or fax in:
o E&O Insurance
o Current Insurance License

In order to keep your contract with GBL, you need to keep your E&O insurance and your insurance license current – please make sure we have a current copy of each one on file.


Please mail all forms to:

Group Benefits, Ltd.
12006 Ridgemont Drive
Urbandale, IA 50323
Attn: Kevin Pevestorf
kpevestorf@grpbenltd.com

Fax: 515-222-5342
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