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Enterprise has forms available below for your use. If you have forms that provide the same information, we will accept those forms as well.


New TPA

    TPA Appointment Questionnaire


New Case/Renewal

    Disclosure Statement - Life Investors Insurance Company of America
    Disclosure Statement - American National Life Insurance Company of Texas
    Proposal Request Form


Claims

   Specific

      50% Notification
      Excess Request For Reimbursement

   Aggregate

      Excess Loss Report
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Manor Oak Two, Ste 605, 1910 Cochran Road, Pittsburgh, PA 15220     Voice: (412) 928-8980    Fax: (412) 928-9834