Apply Now

Apply Now

Submission Requirements

  • Complete and sign the FitnessEdge Program application
  • Complete any relevant supplemental applications (if applicable)
  • Include the Acord application (if applicable)
  • Include Loss Information (3 years if available)

Email or fax your application(s) and loss information to:

Apply by fax:  (855) 858-8188

Apply by e-mail:

Product Application:

Application Supplements:

If applying for any of the following coverage types, please include the appropriate Acord Application with your submission:

  • Workers’ Compensation
  • Crime
  • Inland Marine
  • Auto
  • Umbrella

Start Your Application Process Today!

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text.

Start typing and press Enter to search