Submit an Application

Select a line of business below to view submission requirements:

Workers' Compensation

Please send the following information (if applicable) to our This email address is being protected from spambots. You need JavaScript enabled to view it. or submit online:

  1. Completed Acord 130 Application
  2. Currently Valued Loss Runs and Premium Information for the last 3 years
  3. Current NCCI Experience Rating Worksheet
  4. Detailed narrative explaining the operations of the insured
  5. Detailed description of losses in excess of $25,000
  6. Current Financial Statement for risks generating $250,000 or more in premium
  7. Any other information which might help in the underwriting/pricing of the risk

If you need a fast indication, try out our quick quote app (subject to underwriting guidelines, review, and approval).

 

 

Commercial Property & Casualty

Please send the following information (if applicable) to our This email address is being protected from spambots. You need JavaScript enabled to view it.:

  1. Completed Acord or carrier specific application -- supplemental, excel spreadsheet, or agency form applications are acceptable provided necssary underwriting information is available.
  2. Currently valued loss runs for the last 3 years
  3. Detailed narrative explaining the operations of the insured
  4. Detailed description of losses in excess of $10,000
  5. Any other information which might be helpful in underwriting/placement of the risk

 

Excess & Surplus Lines

AIA now has an office in Mobile, AL (Ashland) that specializes in the placement of Excess & Surplus Lines accounts.   Rick, Greg, Charlotte and the entire team at Ashland provide a personal approach to quoting and servicing your specialty commercial lines business including immediate, over the phone pricing.  To provide this type of service, we require a commitment to a long-term business relationship.  Please contact our VP of E&S and Specialty Underwriting, Rick Welch, at 251-639-5102 if you are interested in discussing partnership opportunities.

 

 

 

Specialty Insurance

Please send completed Acord or carrier specific application to our This email address is being protected from spambots. You need JavaScript enabled to view it..  If you have questions regarding application requirements, feel free to call our underwriting department at 1-800-981-4242.

 

 

 

Submissions can be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or faxed to 1-334-279-9966. 

 

Note:  AIA requires all agencies that bind business with AIA to have completed an Agency Appointment Packet.  AIA will send an Agency Appointment Packet once the first policy is bound by an agency not currently appointed.  All appointment information received will be considered strictly confidential.  If you have any questions, please call us at 1-800-981-4242.