Warning

Washington residents cannot enroll in Short Term Medical for effective dates in 2021. Utah residents cannot enroll in Short Term Medical for effective dates of 4/1/2021 or later. Please contact us for further information.

Producer Link Form

If you are enrolling a client into a LifeMap individual policy, please be sure to use your customized LifeMap producer links (fixed URLs) instead of enrolling directly through our website.  Your links may look something like this:

OR LifeMap STM or
secure.regencelife.com/section.cfm?wSectionID=65&AgentID=999999

If you do not have customized enrollment links, please follow the steps below to create them.

What are the benefits of the custom links?

Using your custom producer enrollment links to enroll clients ensures your Producer ID is attached to your clients’ policies.  You can also easily send your clients the links via email to enroll in the privacy of their home while ensuring you receive the credit.

How to create my agent link

  1. Enter your Producer Tax Identification Number (TIN) and your LifeMap Producer ID Number 
  2. Select the state in which you would like to enroll a client
  3. Select the productClick Submit and wait for your link to generate
  4. Click on the new link to get started right away or copy and paste it into an email or add it to your agency website
  5. Repeat the process for each product and state needed

Be advised – Please fully close your browser between using your CI Plus and STM enrollment links. Unfortunately, using your CI Plus agent link within 15 minutes of your STM agent link within the same browser window could cause your enrollment session for either product to not process correctly. Our IT department is actively working to address this issue.