Fax, mail or e-mail completed, signed EPLI Application together with 5 year hard copy loss runs or written loss statement of insured to:
Toll Free Telephone: 888-335-6616
Toll Free Fax: 888-335-6615
E-mail: info@braishfield.com
Or
Click here to fill out our online EPLI Application
- Suggested minimum lead-time on submissions is 14 days prior to effective date
- Quotation turnaround time is 48 hours after receipt of complete submissions.
- Quotations are transmitted to agents via email. Proposals will include all coverage components, limits, premium and cost summaries.
- Quotations will also include instructions allowing for binding upon receipt of the request at Braishfield.
- Policies are processed immediately after receipt of binder request.
- Within 10 days of binding, the following information is required:
- Original EPLI application signed by the Insured
- State-specific Broker's Certification of effort (Affidavit of diligent effort).
- Other documents as specified on the proposal.