MYGA Application
Need help?
800 509 6473
Wichita National Life Insurance Company
Western United Life Insurance Company
United Life Insurance Company
The United States Life Insurance Co. (NY)
The Standard
Symetra Life Insurance Company
Securian Financial
SBLI -Savings Bank Life Insurance of MA
Sagicor Life Insurance Company
Royal Neighbors of America
Revol One Financial
Reliance Standard Life
Protective Life
Prosperity SBLI USA
Prosperity S.USA Life
Pacific Guardian Life
Oxford Life Insurance Company
Oceanview Life and Annuity
North American Company
NexAnnuity
New York Life Insurance and Annuity Corporation
Nationwide Life Insurance Company
National Life Group
National Integrity Life Insurance
Nassau Life Insurance Company (NY)
Nassau Life and Annuity Company
Mutual of Omaha
Mountain Life
Midland National Life
MassMutual Ascend Life Insurance Company
Mass Mutual
Manhattan Life Insurance Company
Lincoln Financial
Liberty Bankers Life
Knighthead Life
Investors Heritage
Integrity Life Insurance Company
Ibexis
Heartland National
Guardian Insurance & Annuity Co.
Guaranty Income Life
Global Atlantic Financial Group
First Symetra National Life Ins Co of NY
Fidelity Security Life Insurance Company
Fidelity & Guaranty Life
Farmers Life Insurance Company
EquiTrust Life Insurance Company
ELCO Mutual Life & Annuity
Delaware Life
Corebridge Financial
Clear Spring Life
CL Life
Ceres Life
Capitol Life Insurance Company
Brighthouse Life Insurance Company
Baltimore Life Insurance Company
Axonic Insurance
AuguStar
Athene IA
Athene Annuity & Life Assurance Company of New York
Aspida
Americo
American National Insurance Company
American Life
American Gulf
American General Life Insurance Company
American Equity Investment Life Insurance Company Of NY
American Equity Investment Life Insurance Company
American Century Life Insurance
Application

myga online form

Carrier
Value
Rate
Value
Step

Owner

Tell us about the primary owner of the MYGA contract.
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Error

Review your application

Review the information below and make sure everything is accurate before submitting your MYGA application.
Selected product
Carrier
Rate
Group
Edit
Label
Value
Thank you for submitting your MYGA application

Someone from The Annuity Man® will give you a call to confirm some information and review the next steps with you.

What happens next
Step 1
Our team reviews your submitted application details.
Step 2
Someone from The Annuity Man® calls to confirm key information.
Step 3
We help finalize carrier paperwork and any remaining requirements.
Step 4
You receive guidance on the remaining application and funding process.
Submission summary
Application
MYGA Application
Carrier
-
Selected rate
-
Status
Submitted
Need anything else?

If you have questions before we reach out, call 800 509 6473.

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