Connecticut

For Commercial Lines, click here

These applications are available in Connecticut.

  • Surplus Line Managers Brokerage Agreement     
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Mobile Home, Motor Home, Travel Trailer

American Modern Insurance Group

Aegis Security Insurance Company

  • AEGIS NEWS! Please note!
  • $300,000 liability in our Connecticut Manufactured Home Program for owner occupied risks only. Please forward clear photos of the front and rear of the home. The annual premium to increase the liability to $300,000 would be $100.
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Vacant Mobile Homes

American Modern Insurance

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Watercraft

American Modern Insurance Group

Hagerty Insurance

  • Wooden and/or Classic Boats     
    Call or fax completed form to SLM
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Jetski

American Modern Insurance Group

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Motorcycle/ATV

American Modern Insurance Group

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Umbrella

RLI Insurance

* Contact Suzanne Russell if you don't have a username or password

  • For applications and rates, goto RLI

United States Liability Insurance Group

For an Instant Phone Quote Call 888-875-2008

Lexington Insurance Company

  • Personal Umbrella Application     
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Comprehensive Personal Liability

United States Liability Insurance Group

For an Instant Phone Quote Call 888-875-2008

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Vacant Dwelling

American Modern Insurance Group

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In-home Business

RLI Insurance

  • For applications and rates, goto RLI

United States Liability Insurance Group

For an Instant Phone Quote Call 888-875-2008

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Homeowners

Lexington Insurance Company (Note: minimum $200,000 Inland Coverage A, $300,000 Coastal)

  • Homeowners Application (HO3, HO4, HO-6, DP-3, Vacant Dwelling, Vacant Condo)     
  • Excess Flood Application     
  • Personal Inland Marine Application     
  • Personal Umbrella Application     
  • Dwelling Property Application (HO3, HO4, HO-6, DP-3, Vacant Dwelling, Vacant Condo)     
  • Builder's Risk Supplemental Application     
  • Older Home Update Questionnaire     
  • Pet Questionnaire     
  • Unprotected Rating Questionnaire PC 9 & 10     
  • Supplemental Heating Questionnaire     
  • Supplemental Corporate Named Insured Questionnaire     
  • Log Home Questionnaire     
  • Warranty of No Known Losses     
  • SLF-1     
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1-4 Family Dwelling

American Modern Insurance Group

United States Liablility Insurance Group

For an Instant Phone Quote Call 888-875-2008

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Condos/Renters

Lexington Insurance Company

United States Liablility Insurance Group

For an Instant Phone Quote Call 888-875-2008

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Special Events Liability

United States Liablility Insurance Group

*Contact Jane Quinn with questions

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Antique Auto

American Modern Insurance Group

  • Elite Collector Car application     
    Call or fax completed form to SLM

Hagerty Insurance

  • Collector Automobile Insurance     
    Call or fax completed form to SLM