ASAIB Sub-Agent Appointment Information

Sub-Agent Appointment Information

Related Topics

Sub-Agent Appointment Info

Elite Lodging Work Comp Program

Pacific Hospitality Program

Employee Benefits

Umbrella Program

In order to do business as a Sub-Agent through ASAIB you need to meet certain requirements:

Hold the proper state insurance license required to transact business (Copy required)
Have at least $500,000 per claim / $1,000,000 aggregate of Errors and Omissions coverage in effect with an approved carrier (Copy required)
At the time of your first submission only you need to send us a copy of your current insurance agent's license and a copy of the declarations page of your present E&O policy.
Complete one of our Producer Questionnaires.
Print, Sign and return 2 of our Producer Agreements.

To obtain a proposal:

· Submit applicable ACORD application.

· Submit copies of currently valued loss runs covering the last 3 policy years. Provide detail on any large claims.

· Complete the applicable forms below:

o Elite Lodging Workers' Compensation Program

§ Complete a Supplemental information form.

o Pacific Hospitality Program

§ Program Questionnaire (required)

§ Restaurant Questionnaire (if applicable)

§ Non-Owned Automobile Supplemental (if applicable)

§ Statement of Values (required for each location when coverage blanketed)

§ Building Checklist (required on buildings 20 years or older)

o Employment Practices Liability Coverage Application

o Lodging Employee Benefits Program

§ Quote Request

§ Health Questionnaire

Employee Benefits Broker Kit:

· Census data

· Medical Health Underwriting Guidelines

· Summary of Benefits

o Indemnity: Plan 22A

o HMO 20: Plan V4A

o Elect Open Access 10: Plan QKA

o Health Net PPO ADVANTAGE 15: Plan 5XA

o SELECT Point of Service 15: Plan QSA