Adult Daycare Submission Requirements
The following submission items are required for a proposal. Most of our markets will require their company specific supplemental applications in order to bind. However, we can provide a quote based on a competitor’s application.
- Completed & signed ACORD applications with names of all entities to be covered under the policy
- Complete supplemental applications signed by insured
- Five years currently valued loss runs by line of business and policy period
- Five years of premium history by line of business and policy period
- Marketing brochure and literature
- Sample copies of patient service agreements
Choose from the supplemental applications below. If you are unsure which application to use from the following list, or if you have any questions, please contact the underwriter in your region.
| File Name | Format | Download |
|---|---|---|
| Colony Adult Daycare Application |  |
|
| Colony General Application | |
|
| James River Adult Daycare Application | |
|
| James River General Application | |