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.
* indicates required fields
Insurance products are offered through the following insurers: Allegany Co-op Insurance (Cuba, NY); Associated Mutual Insurance Cooperative (Woodridge, NY); CNA Surety (Sioux Falls, SD); Employers Insurance (Reno, NV); Erie Insurance (Erie, PA); Guard Insurance Group (Baltimore, MD); National General Insurance Company (Winston-Salem, NC); Philadelphia Indemnity Insurance Company (Bala Cynwyd, PA); The Progressive Corporation (Mayfield Village, OH); ShelterPoint (Great Neck, NY); The Hartford Insurance Group, Inc. (Hartford, CT); The Travelers Indemnity Company (Hartford, CT); and other unaffiliated insurers.
Insurance services are provided by an independent insurance agency. WB Insurance Solutions Brokerage Corp 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.
