We want the submission process to run smoothly for you. The guidelines below are designed to help you complete your submissions with ease. The more information you include with your submission, the easier it will be for us to assist you quickly.
Once we receive your information, one of our experienced underwriters will call you. The underwriter will give you the status of your submission and answer any additional questions you may have.
Review Our Program
Does it fit our program?
If you are not sure if your risk will fit our program, please contact us at 800-622-8272 with questions. Our underwriters average 14+ years of experience with Social Service agencies. For a complete list of eligible classes, see our Areas Targeted.
Prequalify a Risk
There are several ways you can prequalify a risk:
- Online: Fill out this form to prequalify a risk online.
- E-mail/fax: Send a brochure/summary of the risk’s services to us for pre-qualification at firstname.lastname@example.org or fax to 845-796-3661.
- Locate an Underwriter: Click here to view our underwriters by state
Fill out the General Application and supplemental application that best fits the risk. Download program-specific applications from our website by visiting our Programs section or visit the Application Index for quick links to applications.
What to Include
Include the following information along with your applications:
- Brochure or website URL
- Application (ISA will work off another carrier’s application or our own)
- Five (5) years currently valued company loss runs with expiring premiums
- ACORDs or coverage requirements
- Drivers list
- Audited financials or 1120 income tax returns (if for-profit)
Additional Requirements for Start-Ups:
- Financials or Pro-Forma Statement
- Resume for Executive Director (showing 3-5 years experience)
- Business Plan
Where to Submit
Mail, fax or e-mail the completed submission and any other relevant information to our agency at:
Irwin Siegel Agency, Inc.
Attn: Underwriting Department
PO Box 309
25 Lake Louise Marie Road
Rock Hill, NY 12775
800.622.8272 toll-free phone