Applications

Choose your insurance program below to find the appropriate application(s).

ACTIVE ASSAILANT

Click here to download the questionnaire

ADDICTION TREATMENT

Applications for this program are state-specific. Please download your state’s application and the appropriate package supplements.

AR, CA, CO, CT, IA, IL, IN, LA, MA, MD, MI, MN, MO, MS, ND, NE, NJ, NM, NY, OH, OK, SC, TN, TX, UT, WA, WI:

Required Applications:

Click here to download
a new business application

Click here to download
a renewal application
(current ISA policyholders)

Package Supplements:

Addiction Treatment Supplement
Statement of Values
Non-Owned Auto
Sexual Abuse Supplement

AL, AZ, DE, FL, GA, ID, KS, KY, ME, MT, NC, NH, NV, OR, PA, SD, WY:

Required Applications:

Click here to download
a new business application

Click here to download
a renewal application
(current ISA policyholders)

Package Supplements:

Addiction Treatment Supplement
Statement of Values
Non-Owned Auto
Sexual Abuse Supplement

BEHAVIORAL / MENTAL HEALTHCARE

Applications for this program are state-specific. Please download your state’s application and the appropriate package supplements.

AR, CA, CO, CT, IA, IL, IN, LA, MA, MD, MI, MN, MO, MS, ND, NE, NJ, NM, NY, OH, OK, SC, TN, TX, UT, WA, WI:

Required Applications:

Click here to download
a new business application

Click here to download
a renewal application
(current ISA policyholders)

Package Supplements:

Behavioral Healthcare Supplement
Statement of Values
Non-Owned Auto
Sexual Abuse Supplement

AL, AZ, DE, FL, GA, ID, KS, KY, ME, MT, NC, NH, NV, OR, PA, SD, WY:

Required Applications:

Click here to download
a new business application

Click here to download
a renewal application
(current ISA policyholders)

Package Supplements:

Behavioral Healthcare Supplement
Statement of Values
Non-Owned Auto
Sexual Abuse Supplement

CYBER LIABILITY

Click here to download the Simple Cyber app.

Click here to download the Complex Cyber app.

DEVELOPMENTAL DISABILITIES

Click here to download
a new business application.

Click here to download
a renewal application.
(current ISA policyholders)

Click here to download
the COVID-19 supplemental questionnaire.

Click here to download
the Middle Markets Easy Application.

DIRECTORS & OFFICERS

Click here to download
a Non-Profit application.

Click here to download
a For-Profit application.

SOCIAL / HUMAN SERVICES

Click here to download
a new business application.

Click here to download
a renewal application.
(current ISA policyholders)

Click here to download
the COVID-19 supplemental questionnaire.

Click here to download
the Middle Markets Easy Application.

YOUTH PROGRAMS

Click here to download
a new business application.

Click here to download
a renewal application.
(current ISA policyholders)

Click here to download
the COVID-19 supplemental questionnaire.

Click here to download
the Middle Markets Easy Application.