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Contact: Dan Hoag at 1-800-735-3455

We have markets for agents/brokers, wholesalers, GA's, MGA's, TPA's and specialists of any kind.

ACCESS TO OVER 20 MARKETS


DOWNLOAD
APPLICATION

New Coverage Highlights:

  • First dollar defense
  • Claims expense outside the limits
  • Aggregate deductibles
  • Employment practices liability

LIMITS UP TO 20 MILLION
DEDUCTIBLES STARTING AT $1000


You can mail or fax us a copy of your most recent application or complete the indication form below.

   Name: 

  Phone: 

  Fax #: 

 Street: 
   City: 

  State: 

    Zip: 

 E-Mail: 

INSURANCE INFORMATION:

CURRENT CARRIER: LIMITS:
EXPIRATION DATE: DEDUCTIBLE:
PRIOR ACTS DATE:       TOTAL VOLUME: 

TYPE OF AGENCY:    Wholesale     Retail     Other 
PERCENTAGES OF BUSINESS CLASSES
(ie; personal or commercial and class.)



CLAIMS: LIST DATE OF CLAIM AMOUNT PAID OR RESERVED.  IF NONE, STATE SO.

DATE:     AMOUNT PAID: 
DATE:     AMOUNT PAID: 
DATE:     AMOUNT PAID: 
If you have any other comments or questions, please use the textbox below.






Monroe Insurance Brokerage, Inc.
Contact: Dan Hoag
26465 Carmel Rancho Blvd, Suite 1
Carmel, CA 93923
Bus. Line: (831)372-4511

Toll-Free: 1-800-735-3455
Fax: (831) 372-3812