To apply for coverage,
A confirmation will be sent once the application is received.
Additional Entity SupplementClaim SupplementName/Ownership Change SupplementAcquisitions & Mergers QuestionnaireLife & Health Supplement (Use this supplement if your agency has life and/or health revenues of $500,000
or greater, if you are a life and/or health only agency, or if your agency has life
and/or health revenues greater than P&C revenues.)
For more information, contact Fred Phelps, director of new business development, at 850-893-4156, ext. 342.