Nursing Homes Applications


General/Products Liability Applications

Construction Applications

Boat Builders

Boat Dealers and Marinas

Umbrella / Excess

Commercial Auto Physical Damage and Cargo Applications


Request Info


Nursing Homes, Assisted Living, and all Long Term Care Facilities

We still write general and professional liability for these kinds of facilities in all 50 states.

We are able to offer quotations for a small assisted living facility as low as $8,500 for a traditional insurance policy. We offer a traditional insurance policy with a small deductible of $10,000, or for the account interested in rate relief, we offer a deductible as high as $500,000 (close to self-insurance). Our current accounts range from an 11 bed intermediate care home in a low hazard state to a national chain spin off of 15 locations in the state of Florida.

We have no problem with really distressed homes, but can also offer several discounts for homes with a clean loss history and good state surveys. We are able to quote facilities that are currently uninsured, regardless of the length of time without coverage. A resident/relative counsel is an automatic 10% discount and a high concentration of intermediate care residents will lower the premium, too.

We've had great success with our renewals lately, which have included premium reductions for homes with clean loss history and good state surveys while insured with us. An example is a home that required a 12 month retroactive date. Their expiring premium was $180,000 and we were able to offer a renewal premium of $170,000.

The following is needed to offer a quotation:

  • Acord 125 (both sides fully completed)
  • Nursing Home or Assisted Living application fully completed for each location you wish to insure. You may download these applications using the links at the bottom of the page.
  • Resumes of the facility's Administrator, Director of Nursing, and Medical Director (where applicable)
  • One year current audited financials including balance sheet and income statement
  • A copy of the current state license
  • A copy of the most recent state survey with the facility's plan of corrections
  • A copy of HCFA 672
  • 5 years loss runs with our loss recap sheet completed to summarize
  • A copy of the current carrier's cancellation or non-renewal letter or a copy of the declaration page from the current policy

Click here for our Nursing Home Application (For facilities utilizing ANY skilled nursing services)

Click here for our Assisted Living Facility Application (For facilities utilizing NO skilled nursing services)


These forms are in .pdf format and can be viewed using Adobe Acrobat Reader. If you do not have Acrobat Reader and would like to download it free, click the link below

Click here to download Adobe Acrobat Reader