Applications and Highlight Sheets

Ease of Doing Business

You can contact us directly, but we highly suggest you put us in touch with your existing insurance broker if you’d like a quote.  Your broker will have the information we need to provide you with a coverage comparison and rate quote.  We will provide your broker with everything you need to make an informed decision about insurance coverage.

Highlight Sheets

Applications

New Business Submission Requirements

Property and Casualty Insurance Plans:

  • Submit application with items listed in Section B of application (Attachments), Acord Forms, loss runs, audited financial statements, state surveys, etc.
  • Submissions are required 60 days prior to expiration date

Directors' and Officers' Liability:

  • Complete, sign and submit Arch Insurance D&O Application
  • Include most recent audited financial statement or IRS 990 form
  • Three years currently valued carrier loss runs

Mail, Fax or Email Submissions

LeadingAge Insurance Program Administrator
Aon Affinity Healthcare
1120 20th Street, N.W.
Suite 600
Washington D.C. 20036

847-953-0925 (fax)

Need Assistance?

Please contact Maria Moreno

 

For personal assistance:

800-865-7307 ext. 8553(phone)
847-953-0925 (fax)
SeniorLivingMail@aon.com

Contact Us

Applications & Highlight Sheets