Applications

Below is a list of applications you may need when submitting a risk.  Please note that we are now offering a streamlined solution for Small Businesses with our Instant Quote applications.  Please take a moment to find and fill out the the appropriate application for your submission.

Instant Quote and Online Apps

• Commercial Multi-Line Products

• Non-Profit Package Lines

• Specialty Lines

• General Professional Lines

• Executive Protection Combined Application

• Non Profit D&O-EPL

• D&O-EPL-Fiduciary-Crime

Paper Applications

Executive & Professional Liability Insurance

​​

• Executive & Professional Summary Document

• Executive Protection Combined Application

• Non Profit D&O-EPL

• D&O-EPL-Fiduciary-Crime

• E&O Application

• MPL – NB Application

​ 

Healthcare Professional & Liability Insurance

​

• Healthcare Professional & Liability Summary Document (for agents in Northeast)

• Healthcare Professional & Liability Summary Document  (for agents in Mid-Atlantic/Southeast

• Healthcare Professional & Liability Summary Document  (for agents in West)

• Adoption Foster Agency Application

• Adult Daycare Application

• Assisted Living Short Form

• Assisted Living LT Care Application

• Clinics Application

• Durable Medical Equipment Application

• General Application

• Group Home (Non-Elderly-Residents) Application

• Home Health & Staffing Application

• Long Term Care Application

• Non-Residential Care Facility

• PL for Dentists & Oral Surgeons

• PL for Physicians & Surgeons

• PL for Specified Medical Professions

• Professional Liability for Clinics

• Residential Care Facility

​

High Value Lines Insurance

​

• High Value Personal Lines Summary Document

• Homeowners HO-3

• ​Personal Umbrella

• Personal Inland Marine/Scheduled Valuables

• Watercraft

• MA Personal Auto

• Dwelling Fire

​

 Property & Casualty, Environmental Insurance

​

• Property & Casualty, Environmental Summary Document (for agents East of the Mississippi)

• Property & Casualty, Environmental Summary Document (for agents West of the Mississippi)

• Contractors Application

• Habitational Supplemental Application

• Pollution Liability Application

• Products Application

• Restaurant Supplemental Application

​

Workers Compensation Insurance

​

• Workers Compensation Summary Document

• Acord 130

• Acord No-Loss

• ERM14