Requested Policy Effective Date
Policy Effective date must be greater than the current date
and within 60 days of the current date.
Policy Expiration date defaults to (1) year following effective date.
I sell ingestible and/or topical products (ex: vitamins, supplements, lotions) manufactured under my company's label?
There have been claims made against me in the last 3 years
I require signed waivers from all clients
My previous insurance provider canceled my policy or did not allow me to renew
Have you ever had an incident or been convicted of any crime, including sex-related or child abuse related offenses?
Please review the purchase information below.
*All rates are subject
to underwriter approval
Clicking the button below will launch a popup window where you must verify your
After verifying your address you will be navigated back to this screen where you
can submit your application
Notice to applicants:
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY
OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY MATERIALLY
FALSE INFORMATION OR CONCEALS, FOR THE PURPOSE OF MISLEADING, INFORMATION
CONCERNING ANY FACT MATERIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT,
WHICH IS A CRIME AND SUBJECTS THAT PERSON TO CRIMINAL AND CIVIL PENALTIES.