Applications & Highlight Sheets
Our Goal: Make it Easy to Get an Insurance Quote
You can work with us directly, but to make it easy on you, we suggest you put us in touch with your existing insurance broker. Your broker will have the information we need to provide you with a coverage comparison and rate quote.
Directors & Officers Liability Application
- Complete, sign and submit application
- Include most recent audited financial statement or IRS 990 form
- Include three years currently valued carrier loss runs
All Other Property and Casualty Insurance Application
- Submit application with items listed in Section B (Attachments), Acord Forms, loss runs, audited financial statements, state surveys, etc.
- Submissions are required 60 days prior to expiration date
Mail or Email Submissions to:
Aon Affinity Healthcare
LeadingAge Insurance Program Administrator
1100 Virginia Drive, Suite 250
Fort Washington, PA 19034