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(My first post)
I've used Lincoln Benefit and Genworth because there are no special forms you have to fill out and submit. You just send them the client medical records and they will give you an age rating (hopefully) within a couple days. Other companies like AIG make you fill out a bunch of forms. The only downside is that you need to obtain the medical records at your own expense (or the clients expense). Symetra will order the records and pay for them themselves, but they won't share the records with any other insurance company.
If I'm looking at a rated SPIA, I want the client to make the most money possible!
Go for the money, of course. But relating to a health condition. Consider an Impaired Risk SPIA - Jeff-Pilot offers one, for example. Anyway, the life company evaluates your client's life expectancy based on current health. If the qual for an IR SPIA, they wold get higher monthly income for the same single premium, of the same monthly income for a lower single premium.
I think all you have to do is submit an underwriting review request, a one page form to pre-qual your client with underwriting. Why fill out a app? See what they can do for you and save both a lot of time. Check it out.