Chubb Guidelines for Agent/Agency Appt
- If the applicant is covered under the E & O of a company, then both the agency and individual agent sections on page one and two of the Starr Global Agent Information Form needs to be full completed. If applicant is an independent with his/her own E & O, only the agent sections need to be completed.
- Any questions answered “yes” need a detailed explanation.
- Copies of the agency and agent’s license for any states they are requested approval.
- Either a declarations page or certificate of insurance for the in force E & O policy. A binder or copy of an expired policy will not be accepted.
Agent/agency appointment requests and TPA approval requests may be faxed, e-mailed, or mailed to the following addresses to the attention of Laurie Cardin, Manager--Administration.
Mail:
GreenWood International Insurance Services, Inc.
Attn: Laurie Cardin, Manager--Administration
50 Federal Street
Boston, MA 02110
Fax: 617.728.8268
E-mail: LCardin@gwigroup.com
Phone: 617.502.3028
Consumer Driven Healthcare - An Integrated Solution
Our Services
Our Products
Our Team
Contact Us