Three Steps to Closing the Sale! For Allianz Life Only FOR AGENT USE ONLY

Step 1 Medical Underwriting for an Informal Offer Kai-Zen works best if client is rated Standard or Better with the carrier. Doing an informal medical review let’s you know up front and avoids client paying for a trust they cannot use if they don’t move forward with the plan.

Allianz Income and Net Worth Requirements for Kai-Zen Cases… Income of $400K Or Income of $200K-$399K AND Net Worth of at least $500K Or Income of $100K- $199K AND Net Worth of at least $1MM Medically rated as standard or better Age 18 - 65 *Please make sure your client fits the profile(s) above before submitting a case. Allianz will not reimburse your costs for ordering medical exam/APS’s unless case closes.

TO SUBMIT CASE TO ALLIANZ INFORMAL FORMS NEEDED TO SUBMIT CASE TO ALLIANZ DOWNLOAD. The forms below from www.kaizenplan.com Cover Letter for Allianz Informal Informal Sheet for Allianz Life DOWNLOAD. The forms below from www.allianzlife.com Hipaa Form (NB3046-WS) *If the agent is not licensed with Allianz to write business in the state of Nevada they may submit the informal application, but MUST get licensed in Nevada PRIOR to submitting the formal application because the trust owning the policy is domiciled in Nevada.

Allianz Cover Letter Insured/client first and last name Agent first and last name Allianz Income and Net Worth REQUIREMENTS for Kai-Zen FORMAL Application will be NEVADA for all Kai-Zen cases as Trust is in Nevada IMPORTANT – IF AN EXAM OR MEDICAL RECORDS ARE NOT SENT IN WITH THIS INFORMAL COVER LETTER OR AT LEAST AN EXPECTED DATE OF EXAM AND NAME OF EXAM COMPANY – ALLIANZ WILL NOT REVIEW THE CASE. Note* if the client is between 60-65 years of age and is applying for more than 3Million in death benefit APS’s will be required

Allianz Informal Application/Sheet Please complete ALL blanks. Face Amount – has to minimum of $1.5M for Kai-Zen cases – can be more What are considered “Liquid Assets” Cash Property immediately convertible to cash: Securities Notes Life insurance policies with cash surrender values U.S. savings bonds Account receivables Once this list has been complied for the prospective client total up the “liquid assets” and write the number, in the space provided. Please be sure and forward to info@kaizenplan.com and NOT to Allianz directly – they will not process unless it comes through Kai-Zen Plan/NIW first.

HIPAA John Smith 04/15/1976 Print First and Last Name Date of Birth Sign Date signed Proposed Insured Signature Date Signed Self

Submit Informal to get Medical Offer The Cover Letter, Informal Cover Sheet and HIPAA should be submitted directly to info@kaizenplan.com for review. Kai-Zen Plan/NIW will review to make sure complete and client qualifies per Allianz requirements – then we will submit to Allianz. Please make sure lab slip/copy of exam and/or barcode are included – Allianz will not review an informal without the full exam/labs OR Medical Records.

Congratulations Step 1 of the Enrollment Process is done Once you receive your informal medical offer, start Step 2 of the Enrollment process