Debit-Check Verification Authorization
Mutual of Omaha Insurance Company and its affiliates (together, “Mutual”) are a subscriber of Vector One Operations, LLC dba Vector One (collectively with its affiliates, "Vector One"). Vector One manages the secured web portal interactive computer service provided by Debit-Check.com, LLC ("Debit-Check"). This Debit-Check Verification Authorization is by and among the undersigned ("you", “your”, "me", "I" or "my"), Vector One, and Mutual and is used by Debit-Check subscribers who desire to be granted authorization from you for the submission and/or receipt of your personal information to the Debit-Check service. By signing this contract, you agree to all terms in this Debit-Check Verification Authorization.
As part of the contracting and appointment process and determination of eligibility for advancement of commissions, Mutual is authorized by you and will conduct a Vector One search to obtain and conduct a commission related debit balance screen through Vector One’s Debit-Check secured web portal to determine if another Vector One subscriber has posted that you have an outstanding commission-related debit balance. Your information, including your name and social security number, may be used for the purpose of obtaining and conducting this balance screening. Mutual may continue to conduct periodic commission related debit balance screenings as determined in Mutual’s sole discretion following the engagement of any employment, appointment, contract, tenure, or other relationship with Mutual.
Mutual will obtain the Vector One Debit-Check information from:
Vector One Operations, LLC P.O. Box 12368 Scottsdale, AZ 85267 (800) 860-6546
Access to Debit-Check Information: You can obtain your commission related debit balance information by contacting the Vector One Agent Hotline at (800) 860-6546.
For California, Minnesota, and Oklahoma: You may request a copy of the results of the Vector One Debt-Check search. If you would like a copy of the results of the Debit-Check search, call (800) 860-6546.
In the event of termination or expiration of your employment, appointment, contract, tenure, or other relationship with Mutual, whether voluntary or involuntary, if a commission related debit balance is owed to Mutual, Mutual may post your Information to the Debit-Check service which may be accessed by Debit-Check subscribers until such time the debit balance is satisfied or otherwise removed.
BY SIGNING THIS AGREEMENT, I HEREBY:
- Authorize Mutual to use My Information for purposes of conducting a commission related debit following the engagement of any employment, appointment, contract, tenure, or other relationship with Mutual, utilizing Debit-Check
- Authorize Mutual to consider the results of the commission related debit balance screening in order to determine my eligibility to be contracted and appointed or determine my eligibility for advancement of commissions as an insurance producer.
- Authorize and direct Vector One to receive and process My Information as necessary to intentionally disclose and furnish the results of my commission related debt verification screening, whether directly or indirectly, to Mutual.
- Authorize Mutual to submit My Information to the Debit-Check service in the event of termination or expiration of my engagement with Mutual, whether voluntary or involuntary, to the extent a commission related debit balance is owed to Mutual.
- Authorize and direct Vector One to receive and process My Information and intentionally disclose to any Debit-Check subscriber who submits an inquiry utilizing My Information the results of my commission related debit balance screening, which will contain My Information, to the extent a debit balance is owed.
I understand that if contracted, this authorization will remain valid as long as I am the later of being contracted with Mutual or having a posting to Debit-Check by Mutual. A photocopy of this authorization shall be considered as effective as the original.