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American National Business Processing Instructions

1. Fax the following paperwork to HBW's New Business Processing Department at: (888) 501-1771.
   • American National Transmittal Form
   • Client Application- Complete Part I & II- State Specific
   • Bank Draft form and Voided Check (if premium will be paid monthly)
   • Conditional receipt- If desired please follow instructions (client must qualify)
   • Mail checks to American National and include the client’s social security number:
     
     American National
     Attn: Life & New Business (4th Floor)
     One Moody Plaza
     Galveston, TX 77550
   • Paramedical Exam and Lab Ticket (MUST be submitted with application)
   • HIPPA Form
   • HIV Consent Form
   • Replacement Form (if replacing existing policy)
   • Disclosure Form (Not required in all states)
   • Any additional state specific and/or supplemental forms required

   Note: All of the above items must be completely filled out and submitted to HBW together as a complete packet, or your business will not be processed. This includes the paramed.

2. Once the application is received by HBW it will be reviewed for completeness. If the application is incomplete, you will be notified, via fax or e-mail, with information regarding the necessary corrections. Agents who continually submit incomplete applications will ultimately have the applications returned.
3. Once the application has been sent to American National, case information can be viewed by the Agent (typically within 24-72 hours) on www.imo.anicoweb.com

American Amicable Status / Pending Business