SFBA Master Policy Interest Form

Step 1

The following questions need to be answered to assist your agent in providing a quote for you. Please complete them as accurately as possible and upload a PDF of any documents requested.

Church Name

Name of church contact

This address will receive a confirmation email

Phone

Church Address

Current Insurance Company

Current renewal date

Average Weekly Church Attendance

Annual Church Budget

Number of ALL Paid Staff (all employees)

Number of Pastoral Staff

Number of Volunteers

Upload current declaration pages (Please submit one file per field below.)

List and briefly describe all claims filed in the past 5 years. (All claims- Property and GL)

IS THE CHURCH AWARE OF ANY ALLEGATIONS OR OCCURRENCES OF SEXUAL ABUSE WITHIN THE PAST 5 YEARS?

YES NO

Step 2 Underwriting Review (Approximate 30 Days)

Once the above information is sumbitted, the underwriters will review your INDIVIDUAL policy and will begin to prepare PRELIMINARY pricing and coverage options for participating member churches in the Master Plan.

Step 3 Master Policy Meeting

Once a Master Policy has been presented, participating churches will meet to review preliminary quotes and coverage options.

Step 4 Enrollment and Transition

If we have enough member churches participating in the Master Policy program then an agent from Dominion First will assist individual churches in transitioning from their current plans to the ne Master Policy.

Description

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SFBA Master Policy Interest Form

Description

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