DataXchange Sign-Up Form
To request "Pending Status Download" from the carriers listed below, please print out the
Carrier Download Request Form and complete Section I on that form. You will need to complete a separate form for each carrier you wish to receive downloads from. Once completed, mail the forms to the carrier at the address listed below. If you have any questions, please e-mail our
customer support
center, or call 1-800-823-1560, option 3.
Participating Carriers
American General Brokerage
Kimberly Tuska
Marketing Manager Support
800-659-5920 ext 5865
Kimberly_Tuska@aigag.com
Banner Life
(Legal & General)
Michael F. Foley
1701 Research Blvd.
Rockville, MD 20850
800-638-8428
BannerLifeAMSData@lgamerica.com
PennAMSData@lgamerica.com (for William Penn downloads)
Empire General
Amy Love
Marketing Assistant
7400 West 130th Street
Suite 300
Overland Park, KS 66213
800-688-3518 Ext. 278
Amy.Love@empiregeneral.com
First Penn Pacific
Pam Daidone
10 North Martingale Road
Schaumburg, IL 60173
pam_daidone@firstpenn.com
847-466-8406
fax 847-466-3406
OR
Vicki Barwig
10 North Martingale Road
Schaumburg, IL 60173
victoria_barwig@firstpenn.com
847-466-8401
fax 847-466-3401
Genworth
Download Support Team
3100 Albert Lankford Dr.
Lynchburg, VA 24501
downloads@genworth.com
1-888-325-5433 ext. 5522
Jefferson Pilot
Todd Cohen
(E-Z Data)
434-522-4033
Fax 434-522-4037
Todd.Cohen@ez-data.com
MONY/AXA
Jason Lin
1 Mony Plaza
Syracuse, NY 13202
315-477-3614
Jason.Lin@axadistributors.com
Nationwide Insurance
Jeanann Smith
Sales Channel Technology Services
614-249-9276
FAX 614-249-8642
SMITJ133@Nationwide.com
Prudential Select
Jeff Tognola (for questions concerning download)
213 Washington Street
12th Floor
Newark, NJ 07102
Ph 973-802-2361
jeff.tognola@prudential.com
Fax the download request form to:
Chris Hallowell
chris.hallowell@prudential.com
973-802-5282
Or
Jodi Ollila
jodi.ollila@prudential.com
213 Washington Street
13th Fl.
Newark, NJ 07102
Fax 973-367-8325
United of Omaha
Kim Berg
Mutual of Omaha
Mutual of Omaha Plaza
Omaha, NE 68175
Ph 402-351-8837
kim.berg@mutualofomaha.com
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