New Broker Requirements

In order to obtain quotation from the BizCHOICE Insurance Program, please visit the Submission Requirements Page for all necessary information. Upon binding your first account with the BizCHOICE Commercial Insurance Program, we require the following information from your agency:

• Broker Supplemental Application (PDF Version)
• Brokerage E&O Dec Page or Certificate of Insurance
• Broker/Agency State Insurance License
• Standard Agency Agreement (PDF Version)

If you have any questions about these forms, please do not hesitate to contact Cory Tiebout at coryt@paulhanson.com