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Referral Fee Information

HIPIOWA will pay a $200 fee to Iowa state licensed insurance agents who assist applicants in filling out an approved HIPIOWA application form.

Information required of the agent to process the commission payment:

  1. Photocopy of current insurance license.
  2. Completed IRS Form W-9. Click here to download a W-9 form.
  3. Completed Section VIII of the insured's application.

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