The following form is provided to you for making changes or requests on your existing policies. By submitting this form you understand that no coverage or premium adjustment of any kind is bound until you receive written notice from us.
Insurance products are offered through the following insurers: 5Star; AIG - American International Group (Chicago, IL); ACE (Philadelphia, PA); Attune Insurance; Berkshire Hathaway (Portland, OR); Canal Insurance Company (Greenville, SC); Chubb Group (Warren, NJ); Colony Insurance (The Argonaut Group) (Richmond, VA); Dongbu Insurance (Anaheim, CA); Encompass (Chicago, IL); Fireman's Fund Insurance (Novato, CA); HISCOX (Chesapeake, VA); Lancer Insurance (Long Beach, NY); Lloyds of London (New York, NY); Metropolitan Life Insurance Company (New York, NY); National Indemnity Company (Omaha, NE); The Progressive Corporation (Mayfield Village, OH); RLI (Peoria, IL); Safeco Insurance Company of America (Boston, MA); The Hartford Insurance Group, Inc. (Hartford, CT); The Travelers Indemnity Company (Hartford, CT); Utica First Insurance Company (Oriskany, NY); Utica National Insurance Group (New Hartford, NY); and other unaffiliated insurers.
Insurance services are provided by an independent insurance agency. DSA Insurance Services Inc. and its producers are licensed in the states where services are offered. License numbers are available upon request. Availability, eligibility, and coverages may vary by state. Not all products are available in all states.